Tracheobronchial tuberculosis.
Tracheobronchial tuberculosis (TBTB) is reported in approximately 10% to 39% of the patients with pulmonary tuberculosis. It is defined as the tubercle infection of the trachea and or bronchi. Due to its non-specific presentation, insidious onset and normal chest radiography in about 10-20% of the patients, the diagnosis is delayed. Bronchoscopy is the most definite method of diagnosis which provides adequate specimens for microbiological and histopathological diagnosis. Tracheobronchial stenosis is one of the most common long term complications of TBTB resulting in significant morbidity. It is estimated that 90% of patients with TBTB have some degree of tracheal and or bronchial stenosis. In this review article, we will discuss the pathogenesis, symptoms, imaging, bronchoscopic findings, and treatment of TBTB and management of tracheobronchial stenosis.
Departments of Pulmonary Disease and Critical Care Medicine, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.
Vikas
V
Pathak
Departments of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Ray W
RW
Shepherd
Departments of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Samira
S
Shojaee
Tuberculosis induced stenosis; bronchial stenosis; endobronchial stenosis; endobronchial tuberculosis; tracheobronchial stenosis; tracheobronchial tuberculosis (TBTB)