[Active tracheo-bronchial caseous tuberculosis. Ten patients].
BACKGROUND
We report 10 cases of active endobronchial tuberculosis in female patients.


METHODS
Diagnosis of endobronchial tuberculosis was established by demonstrating the presence of Koch bacilli in the bronchial washings or at pathology examination of a bronchial mucosa biopsy. Follow-up was available for 5 of the 10 cases.


RESULTS
These women were aged 19 to 756 years. Clinical signs included persistent cough (n=10), wheezing (n=10), dyspnea (n=5), dysphonia (n=4) and fever (n=8). Chest x-ray was normal in 4 cases but showed condensation in 4 others with infiltration of the superior lobe in 2 cases. Bronchoscopy findings were characteristic with a thick layer of white caseum on the mucosa. Koch bacilli were found in all bronchial wash specimens. Pathology examination confirmed the diagnosis of tuberculosis in 5 of the 10 cases.
Le Huu
L
L
Centre de Pneumo-phtisiologie de Pham Ngoc Thach, Ho Chi Minh Ville, Vietnam.
Phan Thanh
H
H
Hoeffel
C C
CC
D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D001982:Bronchial Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D001999:Bronchoscopy; D003371:Cough / Q000382:microbiology; D004359:Drug Therapy, Combination; D004417:Dyspnea / Q000382:microbiology; D005334:Fever / Q000382:microbiology; D006801:Humans; D008875:Middle Aged; D012135:Respiratory Sounds / Q000209:etiology; D012189:Retrospective Studies; D013256:Steroids; D014133:Tracheal Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014135:Tracheal Stenosis / Q000382:microbiology / Q000517:prevention & control; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014832:Voice Disorders / Q000382:microbiology
D000893:Anti-Inflammatory Agents; D000995:Antitubercular Agents; D013256:Steroids