A Case of Proximal Tracheal and Laryngeal Tuberculosis Causing Acute Respiratory Failure

Yoo, Chul Gyu; Jung, Man Pyo; Han, Sung Koo; Shim, Young Soo; Kim, Keun Youl; Han, Yong Chol; Kim, Kwang Hyun

doi:1988.35.1.49

Tuberc Respir Dis > Volume 35(1); 1988 > Article

Case report

Tuberculosis and Respiratory Diseases 1988;35(1):49-54.
DOI: https://doi.org/10.4046/trd.1988.35.1.49 Published online March 1, 1988.

A Case of Proximal Tracheal and Laryngeal Tuberculosis Causing Acute Respiratory Failure

Chul Gyu Yoo¹, Man Pyo Jung¹, Sung Koo Han¹, Young Soo Shim¹, Keun Youl Kim¹, Yong Chol Han¹, Kwang Hyun Kim²

¹Department of Internal Medicine, College of Medicine, Tuberculosis Research Institute, Seoul National University, Seoul, Korea
²Department of Otolaryngology, College of Medicine, Seoul National University, Seoul, Korea

급성 호흡부전을 일으킨 상부기관 및 후두 결핵

유철규¹, 정만표¹, 한성구¹, 심영수¹, 김건열¹, 한용철¹, 김광현²

Abstract

Since endobronchial tuberculosis was first described in 1689, it remained infrequently reported until the era of bronchoscopy in 1930s and 1940s. However, tracheal involvement was rare then and remains so today. Tuberculous tracheobronchitis and laryngitis is probably almost always secondary to active pulmonary tuberculosis. Tuberculous tracheitis may be ulcerative or infiltrative at the inflammatory stage. A stenosis at this stage is due to inflammatory swelling, whereas in the healing phase it is mainly due to fibrosis. So it is a troublesome therapeutic problem due to its sequelae, i.e., cicatrical stenosis. Most of the tuberculous tracheitis are present just above the carina, and development of distal tracheal stenosis during treatment of tuberculosis has been recorded. It is thought to be related to the pathogenesis of tracheal tuberculosis, i.e., proximal extension of endobronchial tuberculosis with AFB-laden sputum. But proximal tracheal swelling with stridor which requires emergency tracheostomy cannot he found in literature except one case report. We report a case of proximal tracheal and laryngeal tuberculosis causing acute respiratory failure, which required emergency tracheostomy.

TOOLS

PDF Links
Full text via DOI
Download Citation
Share :

METRICS

0 Crossref
Scopus
2,624 View
14 Download

Related articles

Three Cases of Oropharyngeal Tuberculosis1989 December;36(4)

A Case Report of Primary Tracheal Tuberculosis with Asthma-like Symptoms1987 June;34(2)

A Case Report of Oropharyngeal Tuberculosis1987 June;34(2)

Medical Insurance and National Tuberculosis Control System in Korea1972 March;19(1)

Two Cases of Falciparum Malaria with Acute Respiratory Distress Syndrome.1998 August;45(4)

ABOUT

ARTICLE & TOPICS

Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES

FOR CONTRIBUTORS

Editorial Office: 101-605, 58, Banpo-daero, Seocho-gu (Seocho-dong, Seocho Art-Xi), Seoul 06652, Korea
Tel: +82-2-575-3825, +82-2-576-5347 Fax: +82-2-572-6683 E-mail: katrdsubmit@lungkorea.org