Archive for the 'Tuberculosis' Category

01 Feb

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome: Conclusion

In addition, tuberculosis appears to be significantly easier to diagnose by endobronchial biopsy than Kaposi’s sarcoma.* Another endobronchial process to consider in a patient with AIDS is P carinii pneumonia. There is a recent report of a patient with a cavitary lingular infiltrate who, at the time of bronchoscopy, had a mass very similar to […]

31 Jan

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome: Outcome

Our findings at bronchoscopy were similar in all three cases. A white or pink exophytic mass was seen occluding the orifice to the left upper lobe, anterior segment of the right upper lobe, and the left lower lobe, respectively. Adjacent carinae were erythematous and markedly thickened, and there was an impression of submucosal infiltration in […]

30 Jan

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome: AIDS and ARC

In 1986, the incidence of tuberculosis in the United States had risen 2.6 percent compared with 1985 (unpublished data from the Centers for Disease Control). Previously, the incidence was noted to have increased predominantly in urban areas, due mainly to tuberculosis occurring in patients with AIDS and ARC. This trend was confirmed at our institution, […]

29 Jan

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome: Discussion

In 1949, a post-mortem study of 1,000 patients with pulmonary tuberculosis revealed that 42 percent had involvement of the tracheobronchial tree. With the development of antituberculosis chemotherapy, endobronchial tuberculosis has become a rare occurrence. In a number of recent studies examining the use of fiberoptic bronchoscopy in the diagnosis of pulmonary tuberculosis in the population […]

14 Jan

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome: Case Reports

Case 2 A 30-year-old homosexual man with a previous history of Pneumocystis carinii pneumonia and AIDS presented with fevers, nonproductive cough, and pleuritic chest pain of two weeks’ duration. The chest x-ray film taken on admission revealed anterior mediastinal adenopathy, a left upper lobe infiltrate, and a small left pleural effusion (Fig 2). The patient […]

13 Jan

Endobronchial Tuberculosis in the Acquired Immunodeficiency Syndrome

Since the advent of antituberculosis chemotherapy in the United States, endobronchial tuberculosis has been considered a relatively unusual occurrence. Within the last two decades, the literature on this subject has consisted of a few small series of patients; however, recently, So et al from Hong Kong reported an 18 percent incidence of endobronchial involvement in […]

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