title: A study on non-resolving pneumonia with special reference to role of fiberoptic bronchoscopy.
abstract: BACKGROUND
  Non-resolving pneumonia is often an area of concern for pulmonologists. Fiber optic bronchoscopy (FOB) may have a special role in etiologic evaluation of non-resolving pneumonias. There is paucity of recent studies in this field.
  
  
  OBJECTIVE
  This study aimed to assess the patients of non-resolving or slowly resolving pneumonia with special emphasis on efficacy of FOB and computed tomography (CT)-guided fine needle aspiration cytology (FNAC) in diagnosis.
  
  
  METHODS
  Prospective, observational study conducted in a tertiary care institute over a period of one year.
  
  
  METHODS
  After fulfilling the definition of non-resolving pneumonia by clinical and radiological parameters, patients were evaluated by FOB with relevant microbiological, cytological, histopathological investigations and CT scan of thorax. CT-guided FNAC was done in selected cases where FOB was inconclusive.
  
  
  RESULTS
  Sixty patients were enrolled in the study. Mean age was 51.33 ± 1.71 years with male to female ratio 2:1. Right lung was more commonly involved (65%), and right upper lobe was the commonest site (25%). Pyogenic infection was the commonest etiology (53.3%), bronchogenic carcinoma and tuberculosis accounted for 26.7% and 16.7% cases, respectively. Both, FOB (85.7%) and CT-guided FNAC (91.67%) were very useful for etiological diagnosis of non-resolving pneumonia. Both the procedures were safe, and no major complication was observed.
  
  
  CONCLUSIONS
  Because of the high yield of FOB, it is very useful and safe diagnostic tool for evaluation of non-resolving pneumonia. CT-guided FNAC also gives good yield when cases are properly selected.
authors: Department of Respiratory Medicine, R.G. Kar Medical College and Hospital, Kolkata, India.
authors: Arunabha D
authors: AD
authors: Chaudhuri
authors: Subhasis
authors: S
authors: Mukherjee
authors: Saumen
authors: S
authors: Nandi
authors: Sourin
authors: S
authors: Bhuniya
authors: Sumit R
authors: SR
authors: Tapadar
authors: Mita
authors: M
authors: Saha
keywords: Fiber optic bronchoscopy; lung cancer; non-resolving pneumonia; tuberculosis
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