[A study of 73 cases of bronchial tuberculosis].
We reviewed 73 cases of bronchial tuberculosis (59 adults and 14 children) diagnosed between 1973 and 2000 using histologic and bacteriologic criteria. The most frequent symptom was cough. Radiographic studies showed an alveolar pattern in 35 cases and obstructive pneumonitis or atelectasis in 28 cases. Endoscopy results showed that granuloma was more common in children under 16 years of age (64%) than in adults (22%). Granulomatous or ulcerative bronchitis was significantly more frequent in adults (66%; P< .005). Bronchial tuberculosis is not an exceptional occurrence. Clinical and radiographic signs are nonspecific. Endoscopy images of granuloma and granulomatous or ulcerative bronchitis may be similar to those of bronchial neoplasia. Diagnosis therefore requires fiberoptic bronchoscopy combined with histology and microbiology studies.
Miguel Campos
Elena
E
Departamento de Neumología, Hospital de Sant Pau, Barcelona, España. elena.miguel@sanitatintegral.org
Puzo Ardanuy
Carmen
C
Burgués Mauri
Carmen
C
Castella Riera
Joan
J
D000328:Adult; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy