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Infantile Tubercular Endobronchial Polypoid Obstructive Lesion
Vinay Kumar Konamme1, B C Gowrishankar1, M Narendra Babu1
1Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
Insights
Endobronchial tuberculosis can present as a polypoid mass in infants, causing airway obstruction. Prompt diagnosis and antitubercular treatment led to full recovery in two infants.
Area of Science:
- Pediatrics
- Pulmonology
- Infectious Diseases
Background:
- Endobronchial tuberculosis (EBTB) is a common complication of primary pulmonary tuberculosis, particularly in children.
- EBTB can manifest in various ways, including airway obstruction, which may present with nonspecific respiratory symptoms.
Abstract:
Endobronchial tuberculosis is reported in 18% of adults and 30%-60% of children with primary pulmonary tuberculosis. We are reporting two infants who presented with nonspecific respiratory symptoms due to an obstructive tubercular polypoid mass which was detected on computed tomography. Bronchoscopy showed a pale friable polypoid lesion in the bronchus causing a luminal obstruction. The biopsy of the lesion was suggestive of tuberculosis. On treatment with antitubercular medications, both the babies improved and remained asymptomatic on long-term follow-up.
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