A Case of Delayed Response of Tumorous type of Endobronchial Tuberculosis to Antituberculosis Treatment.

Kang, Ho Suck; Lee, Kwang Ha; Park, I Nae; Shim, Tae Sun

doi:2006.60.3.342

Tuberc Respir Dis > Volume 60(3); 2006 > Article

Case Report

Tuberculosis and Respiratory Diseases 2006;60(3):342-346.
DOI: https://doi.org/10.4046/trd.2006.60.3.342 Published online March 1, 2006.

A Case of Delayed Response of Tumorous type of Endobronchial Tuberculosis to Antituberculosis Treatment.

Ho Suck Kang, Kwang Ha Lee, I Nae Park, Tae Sun Shim

Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. shimts@amc.seoul.kr

Abstract

Pulmonary tuberculomas show variable responses to treatment, with some even increasing in size after treatment. To date, however, no data have been reported on the response of tumorous type of endobronchial tuberculosis (EBTB-T) to treatment observed both bronchoscopically and histologically. We report a case of bacteriologically- and biopsy-proven EBTB-T that showed delayed response to anti-tuberculosis treatment. Even after EBTB-T was treated with antituberculosis drugs for 15 months, the bronchoscopic findings and the histologic findings of chronic granulomatous inflammation with caseation necrosis still remained. However, in fourteen months after the completion of treatment, the lesioneventually disappeared without further treatment.

Key Words: Endobronchial tuberculosis, Tumorous type, Delayed response