title: Bilateral multiple tumor-like endobronchial tuberculosis, diagnosed with bronchoscopic examination.
abstract: Endobronchial tuberculosis is defined as tuberculosis infection of tracheobronchial tree and it is not seen often in adult population. In the absence of parenchymal disease endobronchial tuberculosis is less well-recognized and can lead to difficulties in diagnosis. Our aim is to introduce a rare form of tuberculosis that is important because of high probability of developing severe bronchostenosis during its course. We report a 20-year-old woman who presented with two-month history of severe non-productive cough, shortness of breath, and hemoptysis. After clinical and radiological evaluation, flexible bronchoscopy showed bilateral multiple tumorous lesions that were seen from main carina down to the both main bronchus. The biopsy samples revealed EBTB diagnosis and antituberculosis therapy was given. At the second month of the therapy, rebronchoscopy revealed almost disappearance of the polypoid lesions. The patient healed without any stenosis. This case report is a reminder that endobronchial tuberculosis must take into consideration in differential diagnosis of endobronchial lesions. In patients with endobronchial tuberculosis healing without any complication could be achieved with timely diagnosis and commencement of early treatment.
authors.affiliation: Department of Chest Diseases, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. ysaygideger@gmail.com
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Saygıdeğer
authors.forename: Burcu
authors.initials: B
authors.lastname: Oktay
authors.forename: Emine
authors.initials: E
authors.lastname: Sevgi
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Sever
authors.forename: Hikmet
authors.initials: H
authors.lastname: Fırat
authors.forename: Sadık
authors.initials: S
authors.lastname: Ardıç
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D001982:Bronchial Diseases / Q000175:diagnosis* / Q000188:drug therapy; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents