Endobronchial tuberculosis with lobar obstruction successfully treated by argon plasma coagulation.

Abstract:

:Endobronchial tuberculosis (EBTB) is an infection of the tracheobronchial tree. A 17-year-old male patient with tuberculosis who developed middle lobe syndrome on antituberculous treatment is presented. The patient was admitted with complaints of fever, cough and weight loss. Right paracardiac and perihilar heterogeneous infiltrations were present. During fiberoptic bronchoscopy, the right middle lobe was found to be obstructed. Tuberculosis was diagnosed based on necrotizing granulomas in the bronchial biopsy and culture growth of M tuberculosis. After antituberculous and corticosteroid treatment, progression occurred. The endobronchial lesion was removed with argon plasma coagulation. After bronchoscopy, the patient's radiologic findings and clinical condition improved. In cases progressing despite steroid treatment, alternative treatments may be beneficial.

journal_name

South Med J

journal_title

Southern medical journal

authors

Erelel M,Yakar F,Yakar A

doi

10.1097/SMJ.0b013e3181b66e7a

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1078-81

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

102

pub_type

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