Role of fiberoptic bronchoscopy in the rapid diagnosis of sputum smear-negative disseminated tuberculosis with pulmonary miliary infiltrates

المؤلفون المشاركون

Aladab, Aishah Husayn
Khan, Fahmi Yusuf

المصدر

Oman Medical Journal

العدد

المجلد 35، العدد 1 (31 يناير/كانون الثاني 2020)5ص.

الناشر

المجلس العماني للاختصاصات الطبية

تاريخ النشر

2020-01-31

دولة النشر

سلطنة عمان

عدد الصفحات

5

الموضوع الرئيسي

الطب البشري

الملخص EN

We sought to evaluate the role of bronchoscopy-related procedures such as bronchoalveolar lavage (Bal), bronchial wash (BW), bronchial brush (B brush), transbronchial biopsy (TBB), and post-bronchoscopy sputum (PBS), alone or in combination, in the rapid diagnosis of negative sputum smear disseminated tuberculosis (TB).

Methods: We performed a secondary post hoc analysis of data collected from our previous study entitled “disseminated tuberculosis among adult patients admitted to Hamad General Hospital, Qatar: a five-year hospital-based study” with a modified objective.

Results: We identified 27 patients.

Bal fluid was positive for acid-fast bacilli (aFB) smear in 7/27 (25.9%) patients and were culture-positive for Myobacterium tuberculosis in 17/27 (63.0%) cases, while BW collections were smear-positive in 9/27 (33.3%) cases and culture-positive for M.

tuberculosis in 18/27 (66.7%) cases.

TBB showed caseating granulomas in 10/16 (62.5%) cases and one case of non-caseating granuloma (6.3%).

PBS was positive for aFB in 4/8 (50.0%) patients.

The combination of these procedures enabled us to diagnose disseminated TB rapidly in 22 (81.5%) cases.

Conclusions: Bronchoscopy proved to be an effective method for the rapid diagnosis of disseminated TB in patients in whom sputum smear microscopy was negative.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Khan, Fahmi Yusuf& Aladab, Aishah Husayn. 2020. Role of fiberoptic bronchoscopy in the rapid diagnosis of sputum smear-negative disseminated tuberculosis with pulmonary miliary infiltrates. Oman Medical Journal،Vol. 35, no. 1.
https://search.emarefa.net/detail/BIM-955173

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Khan, Fahmi Yusuf& Aladab, Aishah Husayn. Role of fiberoptic bronchoscopy in the rapid diagnosis of sputum smear-negative disseminated tuberculosis with pulmonary miliary infiltrates. Oman Medical Journal Vol. 35, no. 1 (Jan. 2020).
https://search.emarefa.net/detail/BIM-955173

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Khan, Fahmi Yusuf& Aladab, Aishah Husayn. Role of fiberoptic bronchoscopy in the rapid diagnosis of sputum smear-negative disseminated tuberculosis with pulmonary miliary infiltrates. Oman Medical Journal. 2020. Vol. 35, no. 1.
https://search.emarefa.net/detail/BIM-955173

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-955173