Challenges in Endobronchial Tuberculosis: From Diagnosis to Management
Joint Authors
Kashyap, Surender
Solanki, Anjali
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Despite the rapid advancement in diagnostic and therapeutic modalities, endobronchial tuberculosis (EBTB), defined as tuberculous infection of the tracheobronchial tree, continues to remain challenging for clinicians.
Nonspecific respiratory symptoms along with normal chest radiograph in 10–20% of cases may be alleged for the diagnostic delay.
Variable diagnostic yield with sputum microscopy might further compound the problem.
In such cases, high resolution computed tomography (HRCT) works as a more sensitive tool and demonstrates involvement of tracheobronchial tree described classically as “tree-in-bud” appearance.
Bronchoscopic biopsy is considered the most reliable method for confirmation of the diagnosis with 30% to 84% positivity in different series.
Evolution of the disease is also unpredictable with frequent progression to bronchostenosis, therefore requiring regular follow-up and early intervention to halt the natural course.
This review article elaborates various aspects of the disease with specific focus on diagnostic dilemma and recent advances in interventional bronchoscopy.
In addition, this discussion evokes optimism for further research and introduction of innovative therapeutic modalities.
American Psychological Association (APA)
Kashyap, Surender& Solanki, Anjali. 2014. Challenges in Endobronchial Tuberculosis: From Diagnosis to Management. Pulmonary Medicine،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1047253
Modern Language Association (MLA)
Kashyap, Surender& Solanki, Anjali. Challenges in Endobronchial Tuberculosis: From Diagnosis to Management. Pulmonary Medicine No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1047253
American Medical Association (AMA)
Kashyap, Surender& Solanki, Anjali. Challenges in Endobronchial Tuberculosis: From Diagnosis to Management. Pulmonary Medicine. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1047253
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047253