Tuberc Respir Dis > Volume 35(1); 1988 > Article
Tuberculosis and Respiratory Diseases 1988;35(1):49-54.
DOI:    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
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.

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