Clinical Study on 28 Cases of Endobronchial Tuberculosis

Moon, Jin Hoon; Kim, Seoung Young; Lee, Seoung Ju; Kim, Du Heoung; Kang, Jong Sik; Hwang, Soon Chul

doi:1989.36.3.246

Tuberc Respir Dis > Volume 36(3); 1989 > Article

Original Article

Tuberculosis and Respiratory Diseases 1989;36(3):246-251.
DOI: https://doi.org/10.4046/trd.1989.36.3.246 Published online September 1, 1989.

Clinical Study on 28 Cases of Endobronchial Tuberculosis

Jin Hoon Moon, Seoung Young Kim, Seoung Ju Lee, Du Heoung Kim, Jong Sik Kang, Soon Chul Hwang

Department of Internal Medicin, Wallace Memorial Baptist Hospital, Pusan, Korea

기관지 결핵 28예의 임상적 고찰

문진훈, 김승영, 이승주, 김두형, 강종식, 황순철

Abstract

A clinical study was done on 28 patients confirmed as endobronchial tuberculosis, who have visited the department of Internal Medicine, Wallace Memorial Baptist Hospital during January 1986 to November 1988. The peak incidence was in the third decade and male to female ratio was 1:2.1. The most common symptom was cough (78.6%) and dyspnea, chest discomfort, fever and hemoptysis were presenting symptoms in order of their frequency. In auscultatory findings, decreased breath sound was most common (32 .1%) and followed by rale and wheezing. In chest x.ray, atelectasis was observed in 50%. Bronchoscopy showed stenosis in 46.4% and inflammation and/ or necrosis in 42.9%. Among 28 endobronchial Tbc, biopsy was performed in 25 cases and chronic granulomatous inflammation was 52%. Therapy with antituberculosis drug plus steroid was performed in 3 cases, among which 1 case showed obvious clinical and radiological improvement. At presentation, 2 cases had already severe bronchial stenosis with atelectasis, and pneumonectomy was performed.