[Bronchial tuberculosis. Radiologic endoscopic and clinical aspects].
Nowadays, bronchial tuberculosis is an uncommon, although probably underestimated, form of tuberculosis. The records of 23 patients hospitalized between 1978 and 1989 were reviewed retrospectively. Mean age was 57 years (range: 22 to 84 years). Only one female patient of african origin was a recent immigrant. The disease was pseudo-tumoral in 2 cases and included lymph node fistulae in 4 cases. M. tuberculosis was found at microscopic examination in only 10 patients. The course of the disease was slow and sometimes erratic, even under a well-conducted medical treatment. In one of the female patients, a lymph node fistula appeared after 6 months of chemotherapy, and it is clear that medical treatment must be pursued well beyond the conventional time limits. Several mechanisms are responsible for bronchial tuberculosis: either invasion of the neighbouring bronchi by pulmonary tuberculosis; or lymph node fistula now more frequently due to reactivation of old lesions than to a recent primary infection; or again primary bronchial lesions mimicking bronchial carcinoma.
Delclaux
B
B
Service de Pneumologie, CHU Bretonneau, Tours.
Rabut
H
H
Janvoie
B
B
Nikoyagize
E
E
Varaigne
F
F
Lavandier
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001982:Bronchial Diseases / Q000175:diagnosis* / Q000503:physiopathology; D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014388:Tuberculosis, Lymph Node / Q000150:complications; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000503:physiopathology
La tuberculose bronchique. Aspects radio-cliniques, endoscopiques et évolutifs.