Interventional bronchoscopy in pediatric pulmonary tuberculosis

Goussard, Pierre; Eber, Ernst; Venkatakrishna, Shyam; Frigati, Lisa; Greybe, Leonore; Janson, Jacques; Schubert, Pawel; Andronikou, Savvas

doi:10.1080/17476348.2023.2299336

Expert Review of Respiratory Medicine

2023

DOI: 10.1080/17476348.2023.2299336

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Interventional bronchoscopy in pediatric pulmonary tuberculosis

Pierre Goussard,

Ernst Eber,

Shyam Venkatakrishna

et al.

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2024

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Cited by 1 publication

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PTB airway compression complicated by vascular abnormalities and cardiac involvement: A case series demonstrating diagnosis and management

Goussard,

Eber,

Janson

et al. 2024

Pediatric Pulmonology

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IntroductionLymphobronchial tuberculosis (LBTB) is a tuberculous lymphadenopathy causing airway compression in young children. While it can occur in older children due to factors such as airway size, wall weakness, and immune reconstitutions, severe airway obstruction is more common in younger children.MethodsChest X‐rays show airway compression, while bronchoscopy is the gold standard for confirming TB‐induced airway compression. Previous research has demonstrated that drug resistance and HIV have no effect on the outcome of children with significant airway compression caused by TB.ResultsThis case series describes the management and outcome of three young children who had simultaneous vascular abnormalities and airway obstruction due to pulmonary tuberculosis (PTB). Concomitant PTB and vascular abnormalities are uncommon, even in high‐TB‐intensity areas, and affected children may present differently and require individualised treatment.ConclusionsAdvanced imaging is critical for detecting complicated cases of airway compression due to PTB in young children, as vascular abnormalities are uncommon. Fluorine‐18 fluorodeoxyglucose positron emission tomography/computed tomography (F‐18 FDG PET/CT) may show metabolically active intracardiac lesions. Individualised management plans are required for these children, and echocardiography is critical for patients with disseminated disease.

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PTB airway compression complicated by vascular abnormalities and cardiac involvement: A case series demonstrating diagnosis and management

Goussard,

Eber,

Janson

et al. 2024

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

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Interventional bronchoscopy in pediatric pulmonary tuberculosis

Cited by 1 publication

References 108 publications

PTB airway compression complicated by vascular abnormalities and cardiac involvement: A case series demonstrating diagnosis and management

PTB airway compression complicated by vascular abnormalities and cardiac involvement: A case series demonstrating diagnosis and management

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