Tuberc Respir Dis.  2008 Mar;64(3):206-209. 10.4046/trd.2008.64.3.206.

Acute Tracheal Obstruction due to Endotracheal Tuberculosis

Affiliations
  • 1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University College of Medicne, Seoul, Korea. mjpwis@chol.com

Abstract

No abstract available.

Keyword

Bronchoscopy; Endotracheal tuberculosis; Tracheal obstruction

MeSH Terms

Bronchoscopy
Tuberculosis

Figure

  • Figure 1 Serial findings of bronchoscopy. The first bronchoscopy (A) shows a caseous protruding mass-like lesion on the right lateral wall of the distal trachea, and the tracheal lumen is narrowed by severe mucosal swelling. Two weeks later, a second bronchoscopy shows up (B) and down (C) movement of a polyplike mass during expiration and inspiration, respectively. Nine months later, a third bronchoscopy (D) shows a crater-like depression on the distal trachea. Several lateral parts of the tracheal cartilage rings have disappeared and the tracheal cartilage rings are clearly visible due to improvement of the mucosal swelling.

  • Figure 2 Findings of flow volume curve before (A) and after (B) mass removal Typical variable intrathoracic airway obstruction is observed (A). After mass removal, a flat expiratory limb of flow volume curve is changed to the normal pattern (B). Gross specimens (C) of removed polyplike mass show AFB (D) in the central portion of the mass and branching hypae in the surface of the mass (E) (AFB stain, ×400, H&E stain, ×400).


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