A rare case of endobronchial tuberculosis with left main bronchial stenosis in a patient with pulmonary tuberculosis

Roshan Bhandari 1, *, Nabin Sapkota 2, Rajesh Bahun 3, Ghanashyam Pandey 4, Abisekh Chaulagain 5, Prava Basnet 6, Richa Paudyal 7 and Abhigya Paudyal 8

1 Department of Internal Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu-44600, Nepal.
2 Department of Emergency Medicine, Edmond City Hospital, Butwal-8, Rupandehi-32900, Lumbini, Nepal.
3 Department of Internal Medicine, Shaileshwori Hospital Pvt. Ltd., Doti-10800, Nepal.
4 Department of Health Research, Government of Nepal- Nepal Health Research Council, Ramshahpath, Kathmandu-44600, Nepal.
5 Department of Internal Medicine, Kritipur Hospital, PHECT-Nepal, Kritipur, Kathmandu-44600, Nepal.
6 Department of Internal Medicine, Hebei Medical University, Hebei, Shijiazhuang-050017, China.
7 Department of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu-44600, Nepal.
8 Department of Internal Medicine, KIST Medical College Teaching Hospital, Gwarko, Lalitpur-44700, Nepal.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(03), 793–795
Article DOI10.30574/wjarr.2023.19.3.1906
 
Publication history: 
 
Abstract: 
Endobronchial tuberculosis (EBTB) is a condition that occurs as a result of pulmonary tuberculosis (TB), where the infection spreads to the inner walls of the bronchial tubes or the trachea. This causes the inner lining and the layer underneath to become inflamed, swollen, ulcerated, or to develop granulated tissue or scar. We discuss a 19-year-old lady with active pulmonary TB who was receiving anti-TB drug treatment. Despite being on anti-TB medications, she had persistent cough, loss of weight and increasing dyspnea. She was diagnosed with EBTB with left main bronchus (LMB) stenosis, based upon a strong clinical suspicion, followed by using a variety of techniques, including lung function testing, a chest and neck CT scan, and a bronchoscopy. Given that EBTB is a rare consequence of TB, it is crucial for clinicians to take it into account when patients present with symptoms that are comparable. This will enable prompt and effective treatment.
 
Keywords: 
Bronchial Stenosis; Bronchoscopy; Endobronchial Tuberculosis; Pulmonary Tuberculosis
 
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