Endobronchial Tuberculosis Manifested as Obstructive Airway Disease in a 4-Month-Old Infant

Abdulla, F. Naziya; Ka, Dietrich

doi:10.1097/00007611-199006000-00033

Cited by 6 publications

(1 citation statement)

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“…The clinical manifestations of endobronchial TB are non-specific, with cough and fever being the principal symptoms [7,8]. EBTG may mimic foreign body aspiration [4,12], as we saw in two of our cases, and be the cause of the first manifestation of TB [1]. There may be radiological evidence of TB, such as hilar adenopathies, the most frequent finding in our series, pulmonary infiltration, unilateral obstructive emphysema, atelectasis, distortion of the carina or even intrabronchial nodule, as occurred in one of our cases.…”

Section: Discussionsupporting

confidence: 55%

Endobronchial Tuberculous Granuloma in Children

Arias

Bahia²,

Barca³

et al. 2006

Eur J Pediatr Surg

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Endobronchial tuberculosis is rare in children, in whom it is usually a complication of primary tuberculosis. Endobronchial involvement may adopt several forms, with granuloma being infrequent. Here we report on 10 cases of endobronchial tuberculous granuloma diagnosed and treated in our Paediatric Surgery Service between 1991 and 2004. In 2 cases the presentation was acute and constituted the first manifestation of TB; the remaining patients were undergoing treatment or had been treated for primary TB, and presented with clinical symptoms or radiological signs that led us to suspect endobronchial involvement. In all cases the granuloma was removed by bronchoscopy. Patients received conventional medical TB treatment, with corticoids for 4 weeks following granuloma removal. The clinical course was favourable in all cases and on follow-up we saw no complications. Endobronchial tuberculous granuloma should be borne in mind in children with symptoms or signs of airway obstruction and especially during the course of tuberculosis treatment.

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