Epituberculosis Revisited: Case Report and Review

Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 9

Abstract

Primary pulmonary tuberculosis can involve regional lymph nodes which may resolve spontaneously or on treatment; or they may enlarge causing extrinsic bronchial compression; or cause endobronchial inflammation and ulceration; or a node may erode through the bronchial wall with extrusion of caseous materials into the bronchial tree, causing focal or lobar pneumonia. This erosion is seen radiologically as hilar lymphadenopathy, with atelectasis and consolidation and described as “epituberculosis”. It is more common in infants than older children. We hereby describe the case of a 13-year-old child with right hilar lymphadenopathy and right upper lobe consolidation on chest x-ray. We demonstrated by fibreoptic bronchoscopy that this epituberculosis resulted from perforation of a lymph node and discharge of caseous material into the upper lobe bronchus with resultant endobronchial obstruction. Thus a tuberculous ruptured lymph node may lead to clinical and radiological worsening, but this does not indicate development of drug resistance in these patients and they respond well to the same treatment regimen.

Authors and Affiliations

Lavina Vishnu Mirchandani, Sindhu S Kamath, Jayalakshami Thelapurath Kutty, Aparna Iyer

Keywords

Related Articles

Rehabilitation Challenge in Congenital Lower Limb Deficiency: A Case Report

ABSTRACT Rehabilitation of congenital lower limb deficiencies remains a challenge. A four-year-old boy presented with bilateral lower limb deficiency since birth and inability to stand. Orthoprosthesis with modified buck...

Facial Nerve Paralysis Due to Aviation Barotrauma in a Child: A Case Report

ABSTRACT Facial nerve paralysis due to aviation barotrauma is a rare occurrence that has previously only been seen in adults. This case report describes the presentation of baroparesis in a female child, which posed uniq...

Application of Curved MPR Algorithm to High Resolution 3 Dimensional T2 Weighted CISS Images for Virtual Uncoiling of Membranous Cochlea as an Aid for Cochlear Morphometry

Introduction: With the use of various surgical techniques, types of implants, the preoperative assessment of cochlear dimensions is becoming increasingly relevant prior to cochlear implantation. High resolution CISS prot...

Effect of Gong’s Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis

ABSTRACT Introduction: Adhesive capsulitis is a self-limiting condition of unknown aetiology. It is characterised by painful and limited active and passive range of motion. Women are more commonly affected than men. This...

Download PDF file
  • EP ID EP363016
  • DOI 10.7860/JCDR/2017/28718.10584
  • Views 70
  • Downloads 0

How To Cite

Lavina Vishnu Mirchandani, Sindhu S Kamath, Jayalakshami Thelapurath Kutty, Aparna Iyer (2017). Epituberculosis Revisited: Case Report and Review. Journal of Clinical and Diagnostic Research, 11(9), 5-7. https://europub.co.uk/articles/-A-363016