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

Joint Authors

Aladab, Aishah Husayn
Khan, Fahmi Yusuf

Source

Oman Medical Journal

Issue

Vol. 35, Issue 1 (31 Jan. 2020)5 p.

Publisher

Oman Medical Specialty Board

Publication Date

2020-01-31

Country of Publication

Oman

No. of Pages

5

Main Topic

Medicine

Abstract 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.

American Psychological Association (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

Modern Language Association (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

American Medical Association (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

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-955173