title: A rare case of fibrostenotic endobronchial tuberculosis of trachea.
abstract: Endobronchial tuberculosis (EBTB) is a sequelae of pulmonary tuberculosis (TB) that extends to the endobronchial or endotracheal wall causing inflammation, edema, ulceration, granulation or fibrosis of mucosa and submucosa. This case depicts a 20 year old foreign-born woman with a history of active pulmonary TB on anti-TB chemotherapy, who presented with worsening stridor, dyspnea, cough and weight loss. The disease state was diagnosed with multiple modalities including, spirometry, CT scan of the neck, and bronchoscopy. The biopsies of the tracheal web revealed fibrotic tissue without any granulomas or malignancy establishing the diagnosis of EBTB. Serial balloon dilations and anti-neoplastic therapy with Mitomycin C was used to accomplish sufficient airway patency to relieve her symptoms. ETBT is a rare consequence of TB, which although has a low incidence in the United States, so physicians should have a high clinical suspicion based on the need for prompt intervention.
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: Cassiopia
authors.initials: C
authors.lastname: Cary
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: Manjit
authors.initials: M
authors.lastname: Jhajj
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: John
authors.initials: J
authors.lastname: Cinicola
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Evans
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: Pramil
authors.initials: P
authors.lastname: Cheriyath
authors.affiliation: Pinnacle Health Hospital, USA.
authors.forename: Venaka S
authors.initials: VS
authors.lastname: Gorepatti
keywords: Endobronchial tuberculosis; Endotracheal tuberculosis; Pulmonary tuberculosis; Stridor; Tracheal stenosis; Tracheal web