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Updated: May 21, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
[Total lung atelectasis in younger child suffering from tuberculosis]
Insights
Tuberculosis can obstruct airways with caseous material. Rigid bronchoscopy successfully restored airway patency in a 10-month-old child with intrathoracic lymph node tuberculosis.
Area of Science:
- Pulmonology
- Pediatric Infectious Diseases
- Thoracic Surgery
Background:
- Intrathoracic lymph node tuberculosis can lead to airway obstruction.
- Obstruction severity in children correlates with the caliber of affected bronchi.
Observation:
- A 10-month-old infant presented with airway compromise due to tuberculosis of intrathoracic lymph nodes.
- Caseous material from a ruptured lymph node obstructed the right primary bronchus.
Findings:
- Rigid bronchoscopy was employed to address the bronchial obstruction.
- Successful removal of caseous masses and granulation tissue restored the patency of the right primary bronchus.
Implications:
- Rigid bronchoscopy is an effective intervention for managing airway obstruction caused by intrathoracic lymph node tuberculosis in infants.
- Early intervention can prevent severe respiratory complications in pediatric tuberculosis cases.
Abstract:
Tuberculosis of intrathoracic lymph nodes in part of patients is complicated by the break of molten caseous node in the lumen of the bronchus lumen and obstruct it with thick caseous masses and granulation tissue. The severity of state in children is determined by the caliber of the affected ones. Recovery of the right primary bronchus patency in 10-month child succeeds in rigid bronchoscopy.
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