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Related Experiment Videos

[Active bronchial tuberculosis--a clinical study on 36 cases].

T Rikimaru1, Y Tanaka, M Otaki

  • 1First Department of Internal Medicine Kurume University School of Medicine, Fukuoka, Japan.

Kekkaku : [Tuberculosis]
|August 1, 1991
PubMed
Summary
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Diagnosis of tracheobronchial tuberculosis is confirmed by positive sputum tests, not bronchial biopsy. Intractable cough is a key symptom, and misdiagnosis as asthma can occur.

Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Microbiology

Context:

  • Tracheobronchial tuberculosis (TBTB) presents diagnostic challenges.
  • Clinical features and diagnostic methods for TBTB require further elucidation.

Purpose:

  • To evaluate clinical features of TBTB.
  • To assess the diagnostic utility of bronchial biopsy versus microbiological tests for TBTB.

Summary:

  • A study of 36 TBTB patients revealed intractable cough as the primary symptom.
  • Bronchial biopsy had low diagnostic yield (11/23), while smear/culture for tubercle bacilli were positive in all 36 patients.
  • Plain chest X-rays were often normal, and misdiagnosis as bronchial asthma occurred.

Impact:

Related Experiment Videos

  • Microbiological tests are deemed essential for TBTB diagnosis, rendering bronchial biopsy non-essential.
  • Findings highlight the need for increased awareness of TBTB's varied presentations.
  • The study contributes to understanding TBTB's epidemiology, noting higher incidence in females and low smoking rates.