[Broncholithiasis in a case of silicotuberculosis].
Broncholithiasis is usually a late complication of tuberculous lymphadenopathy. Clinical symptoms are not suggestive of the condition in most cases, except for lithoptysis which occurs in 5 to 34% of the patients. Owing to the currently low frequency of tuberculosis, broncholithiasis is a rare and sometimes surprising diagnosis, as in the case reported here. In this 65-year old silicotic man, broncholithiasis was manifested by blood-stained expectoration. Fibroscopy established the diagnosis by showing 2 broncholiths, about 1 cm wide, which were endoscopically extracted. The second peculiarity of this case is that broncholithiasis was associated with active tuberculosis.
Mulliez
P
P
Service de Pneumologie, Hôpital Saint-Philibert, Lomme.
Darras
A
A
Dabouz
R
R
Smith
M
M
D000368:Aged; D001982:Bronchial Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D001999:Bronchoscopy; D002137:Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D012830:Silicotuberculosis / Q000150:complications*; D014057:Tomography, X-Ray Computed
Broncholithiase au cours d'une silico-tuberculose.