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A Case of Endobronchial Tuberculosis with Repeated Expectoration of Nodular Tissues  

Kim, Soo Woong (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Lee, Byoung Hoon (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Ahn, Youngsoo (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Kim, Nam In (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Eom, Woo Youn (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Woo, Jeong Joo (Dept. of Radiology, Eulji Hospital, Eulji University School of Medicine)
Kim, Sang-Hoon (Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.59, no.2, 2005 , pp. 204-208 More about this Journal
Abstract
Herein, we report a case of tumorous endobronchial tuberculosis with successful recovery of atelectasis without any significant bronchial stricture, after repeated expectorations of nodular tissues. A 24-year-old male patient was presented with persistent cough. The patient was diagnosed to be suffering from tuberculous lymphadenitis on right axillar and mediastinum of lung, and was subsequently treated with antituberculosis agents. After two months, clinical deteriorations and atelectasis were observed on right upper lobe of lung. Multiple endobronchial tumorous lesions, which obstructed the right main bronchus, were revealed on bronchoscopy, and based on the endobronchial biopsy findings we confirmed that the patient was suffering from endobronchial tuberculosis. We decided to administer antituberculosis agents without any additional procedure. After few weeks, the patient spontaneously expectorated nodular tissues with vigorous coughing. Later on, the symptoms and atelectasis disappeared and the patient was completely recovered. This case shows that in patients suffering from tumorous endobronchial tuberculosis, endobronchial mass can be expectorated spontaneously without sequelae of significant bronchial stenosis.
Keywords
Endobronchial tuberculosis; Atelectasis; Bronchoscopy;
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