[A case of primary tuberculosis, with subpleural infiltrative shadow, hilar lymphadenopathy perforated into bronchus, causing tuberculous pneumonia].
A 47-year-old asymptomatic female was referred to our outpatient department with pulmonary infiltration in the left S6. PPD skin test revealed 12 x 11 mm redness. The infiltration disappeared without treatment. Hilar lymphadenopathy appeared 2 months after the first visit. In 6 months after the first visit, the hilar lymphadenopathy disappeared without treatment, but infiltration appeared in the left S6 (different site to that of the first visit). A repeated PPD revealed 47 x 40 mm redness and 20 x 15 mm induration. Bronchoscopy revealed a polipoid lesion at the orifice of left B6, MTD (Mycobacterium tuberculosis direct test) was positive from the bronchial washing of left B6. She was diagnosed as tuberculosis based on the courses and radiographic appearances. After antituberculous chemotherapy, the pulmonary infiltration and the polipoid lesion at the orifice of left B6 improved.
Inoue
T
T
Department of Respiratory Medicine, National Minami-Kyoto Hospital, Japan.
Ikeda
N
N
Kurasawa
T
T
Sato
A
A
Nakatani
K
K
Ikeda
T
T
Yoshimatsu
H
H
D001982:Bronchial Diseases / Q000150:complications*; D001984:Bronchial Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications*; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000150:complications*; D011127:Polyps / Q000150:complications; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications*; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging / Q000209:etiology*