반복적인 결절조직 배출 후 호전된 기관지 결핵 1예

• Published in: Tuberculosis and respiratory diseases Vol. 59; no. 2; pp. 204 - 208
• Main Authors: 김수웅, 이병훈, 안영수, 김남인, 엄우연, 우정주, 김상훈, Kim, Soo Woong, Lee, Byoung Hoon, Ahn, Youngsoo, Kim, Nam In, Eom, Woo Youn, Woo, Jeong Joo, Kim, Sang-Hoon
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01.08.2005
• Subjects: 내과학; Bronchoscopy; Atelectasis; Endobronchial tuberculosis
• ISSN: 1738-3536; 2005-6184

Herein, we report a case of tumorous endobronchial tuberculosis with successful recovery of atelectasis without any significant bronchial stricture, after repeated expectorations of nodular tissues. A 24-year-old male patient was presented with persistent cough. The patient was diagnosed to be suffering from tuberculous lymphadenitis on right axillar and mediastinum of lung, and was subsequently treated with antituberculosis agents. After two months, clinical deteriorations and atelectasis were observed on right upper lobe of lung. Multiple endobronchial tumorous lesions, which obstructed the right main bronchus, were revealed on bronchoscopy, and based on the endobronchial biopsy findings we confirmed that the patient was suffering from endobronchial tuberculosis. We decided to administer antituberculosis agents without any additional procedure. After few weeks, the patient spontaneously expectorated nodular tissues with vigorous coughing. Later on, the symptoms and atelectasis disappeared and the patient was completely recovered. This case shows that in patients suffering from tumorous endobronchial tuberculosis, endobronchial mass can be expectorated spontaneously without sequelae of significant bronchial stenosis. 기관지 결핵은 치료 기간이 길고 후유증이 나타날 수 있어 적극적인 치료와 세심한 추적관찰을 요하는 질환이다. 저자들은 항결핵 화학요법 중 무기폐가 진행되었다가 특별한 시술 없이 물리치료와 체위배농만으로 결절 조직이 자연 배출된 후 임상 증상 및 방사선 소견이 호전된 기관지 결핵 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.