Tuberc Respir Dis.  1975 Sep;22(3):135-140. 10.4046/trd.1975.22.3.135.

A Case of Fibrosing Alveolitis combined with Pulmonary Tuberculosis

• KMID: 2528993
• DOI: http://doi.org/10.4046/trd.1975.22.3.135

Abstract

A case of fibrosing alveolitis associated with pulmonary tuberculosis is presented. This is a case of 50-year-old woman admitted with dyspnea on exertion and fatigue for 8 months. She has clubbing fingers. Physical examination disclosed crepitation sounds throughout over the right lung field. Chest films show reticular and honey.comb appearance in the right upper and lower 10bes.A chest film taken 6 months prior to this admission showed changes identical to those of admission chest films. Lung scans with ^99m Tc reveals perfusion defect in the right lung field except the base of the right lower lobe and the middle lobe. The routine laboratory examinations contribute little in making the diagnosis except for bacteriologic smear and culture. The sputum reveals A.F.B. on smear and M. tuberculosae Percutaneous needle biopsy of the lung shows diffuse interstitial fibrosis associated with granulomatous inflammation. Acid-fast bacilli are demonstrated in the cytoplasm of Langhan’ s giant cells and epitheloid cells.