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Tuberculosis presenting as endobronchial tumor
Sarfraz Saleemi1, Mohammed Khalid, Mohammed Zeitouni
1Pulmonary Section, Department of Medicine, MBC 46, King Faisal Specialist Hospital and Research Centre, PO Box 3354, Riyadh 11211, Kingdom of Saudi Arabia. sasaleemi@hotmail.com
Saudi Medical Journal
|August 24, 2004
Summary
Endobronchial tuberculosis (TB) can mimic lung cancer, presenting as a mass lesion. Early diagnosis and treatment of this TB complication are crucial to prevent bronchial stenosis.
Area of Science:
- Pulmonology
- Infectious Diseases
- Oncology
Background:
- Endobronchial tuberculosis (TB) is a pulmonary complication that can manifest in diverse ways.
- It often presents as mucosal hyperemia, ulceration, or granulation tissue, but rarely as a mass lesion.
Observation:
- This case highlights TB presenting as an endobronchial tumor, mimicking lung cancer during bronchoscopy.
- Histological examination revealed caseating granuloma, and bronchial lavage confirmed Mycobacterium TB.
Findings:
- The patient's condition improved significantly following anti-tuberculosis treatment.
- Endobronchial TB, though more common in children, affects adults and can lead to serious complications like bronchial stenosis.
Implications:
- Early detection and prompt treatment of endobronchial TB are vital to prevent debilitating bronchial stenosis.
- Current treatment modalities for preventing bronchial stenosis have shown limited success, emphasizing the need for effective early interventions.