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[Tuberculous pseudotumour, a challenging diagnosis].
H Snene1, A Ben Mansour2, S Toujani2
1Université de Tunis El Manar, faculté de Médecine de Tunis, CHU Mongi Slim, service de pneumologie allergologie (unité de recherche 12SP06), La Marsa, Tunisie.
Revue Des Maladies Respiratoires
|April 9, 2018
Summary
Diagnosing thoracic tuberculous pseudotumor is challenging due to its rarity and resemblance to cancer. Delayed diagnosis, often caused by negative bacteriological samples, impacts patient outcomes.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiology
Background:
- Thoracic tuberculous pseudotumor is a rare manifestation of tuberculosis.
- It can mimic neoplastic conditions on imaging and endoscopy, posing diagnostic challenges.
Purpose of the Study:
- To identify and analyze cases of thoracic tuberculous pseudotumor.
- To highlight the diagnostic difficulties and delays associated with this condition.
Main Methods:
- Retrospective study of inpatient records from 2003 to 2016.
- Involved analysis of 17 patients diagnosed with thoracic tuberculous pseudotumor.
Main Results:
- The median age of patients was 41 years, with cough and general debility as primary symptoms.
- Radiological abnormalities were present in all patients; bronchoscopy revealed endobronchial abnormalities in 11.
- A median diagnostic delay of 97 days was observed, with diagnosis confirmed bacteriologically (5 cases), histologically (14 cases), or clinically (1 case).
Conclusions:
- Positive diagnosis of thoracic tuberculous pseudotumor is difficult, often due to negative bacteriological samples.
- Diagnostic and treatment delays can occur, impacting patient management.
- Despite diagnostic challenges, favorable outcomes were observed with 13 patients cured and four undergoing treatment.
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