Sequential bronchoscopic findings of endobronchial tuberculosis.

Choi, Hyung Seok; Jeong, Ki Ho; Lee, Kye Young; Yoo, Chul Gyu; Kim, Young Whan; Han, Sung Koo; Kim, Keun You; Han, Yong Chol

doi:1992.39.5.407

Tuberc Respir Dis > Volume 39(5); 1992 > Article

Original Article

Tuberculosis and Respiratory Diseases 1992;39(5):407-416.
DOI: https://doi.org/10.4046/trd.1992.39.5.407 Published online October 1, 1992.

Sequential bronchoscopic findings of endobronchial tuberculosis.

Hyung Seok Choi, Ki Ho Jeong, Kye Young Lee, Chul Gyu Yoo, Young Whan Kim, Sung Koo Han, Keun You Kim, Yong Chol Han

Department of Internal Medicine & Tuberculosis Research Institute, Seoul National University College of Medicine, Seoul, Korea

Abstract

Background
Endobronchial tuberculosis is an important complication of p비 monaπ tuberculosis. 1t is highly infectious, difficult to diagnose mimicking bronchogenic carcinoma or bronchial asthma and it can leave bronchial stenosis with parenchymal collapse or bronchiectasis as complications Early diagnosis, adequate treatment and follow.up are crucial in the management of endobronchial tuberculosis. The most important diagnostic tool in its diagnosis is bronchoscopic examination. Authors have tried to elucidate changes in sequential bronchoscopic findings in these patients to help diagnose and manage these patients.
Methods
We have analysed the sequential bronchoscopic findings and c1 inical features of 83 endobronchial tuberculosis patients admitted in Seoul National University Hospital from August 1987 to December 1990
Results
We can observe the following results 1) In the actively caseating type, improvement of the bronchial stenosis was observed in 29 patients (76.3%) up to 5 months of treatment. Caseation disappeared in 31 patients (81.6%) during the same period. 2) In the stenotic without fibrosis type, improvement of the stenosis was observed in 8 patients (66. 4% ) during the same period. 3) 1n the tumorous type, improvement of the stenosis was obseπed in 12 patients (92.3%) during the same period.
Conclusions
: We can conclude that improvement of the endobronchial lesions may occur up to about 5 months after adequate treatment of endobronchial tuberculosis.

Key Words: Endobronchial Tuberculosis, Bronchoscopy

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