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Published: 2022-04-30
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DOI: https://doi.org/10.52852/tcncyh.v152i4.755
Issue
Vol. 152 No. 4 (2022)
Section
Các bài báo
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Quynh, Đào T., Hằng, N. T., & Quý, T. V. (2022). A case report: lately diagnosed pulmonary tuberculosis complicates complete left lung atelectasis due to airway narrowing. Journal of Medical Research, 152(4), 243-250. https://doi.org/10.52852/tcncyh.v152i4.755

A case report: lately diagnosed pulmonary tuberculosis complicates complete left lung atelectasis due to airway narrowing

Dao Thuy Quynh, Nguyen Thi Hang, Truong Van Quy

Main Article Content

Abstract

Pulmonary tuberculosis is one of the most common forms of tuberculosis, along with endobronchial TB that can cause dangerous complications such as atelectasis due to irreversible bronchial narrowing. We report a case of a 14 years old girl admitted to the hospital because of cough lasting for more than 2 months with no fever, no difficulty breathing and left lung hypoventilation was found. The chest X-ray results showed that the entire left lung was unevenly opacified, the tracheal was pulled to the left. Chest computed tomography scan showed that the left lung was completely hypovolemic, the left main bronchus was narrow. Bronchoscopy showed almost complete narrowing of the left main bronchus. The etiological diagnostic tests showed positive results of direct sputum smear for AFB (Acid Fast Bacillus); molecular diagnosis and cultures of tuberculosis bacteria were both positive in sputum and bronchoalveolar lavage fluids.

Article Details

Keywords

Pulmonary tuberculosis, endobronchial tuberculosis, children.

References

1. Tetikkurt C. Current perspectives on endobronchial tuberculosis. Pneumon. 2015; 3(21): 239-245.
2. Sahin F, Yıldız P. Characteristics of endobronchial tuberculosis patients with negative sputum acid-fast bacillus. J Thorac Dis. 2013; 5(6): 764-770. doi:10.3978/j.issn.2072-1439.2013.12.15.
3. Kassam NM, Aziz OM, Somji S, et al. Endobronchial Tuberculosis: A Rare Presentation. Cureus. 2020; 12(5): e8033. doi: 10.7759/cureus.8033.
4. Jung SS, Park HS, Kim JO, et al. Incidence and clinical predictors of endobronchial tuberculosis in patients with pulmonary tuberculosis. Respiratory. 2015; 20:488-495. doi: 10.1111/resp.12474.
5. Daly JF, Brown DS, Lincoln EM et al. Endobronchial tuberculosis in children. Diseases of the chest. 1952; 22 (4): 380-398. doi.org/10.1378/chest.22.4.380.
6. Lee JH, Park S, Lee DH et al. Endobronchial tuberculosis: clinical and bronchoscopic feature in 121 cases. Chest.1992; 102 (4): 990–993. doi: 10.1378/chest.102.4.990.
7. Kim HC, Kim HS, Lee SJ, et al. Endobronchial tuberculosis presenting as right middle lobe syndrome: clinical characteristics and bronchoscopic fidings in 22 cases. Yonsei Med J. 2008; 49(4): 615. doi:10.3349/ymj.2008.49.4.615.
8. Kashyap S and Solanki A. Challenges in Endobronchial Tuberculosis: From Diagnosis to Management. Pulm Med. 2014: 1-8. doi:10.1155/2014/594806.
9. Lee LH and Chung HS. Bronchoscopic, radiologic and pulmonary function evaluation of endobronchial tuberculosis. Respirology. 2000; 5(4):411-417. doi:10.1111/j.1440-1843.2000.00285.
10. Chung HS, Lee JH. Bronchoscopic assessment of the evolution of endobronchial tuberculosis. Chest. 2000; 117: 385-92. doi: 10.1378/chest.117.2.385.
11. Ozkaya S, Bilgin S, Findik S, et al. Endobronchial tuberculosis: histopathological subsets and microbiological results. Multidiscip Respir Med. 2012; 7: 34. doi:10.1186/2049-6958-7-34.