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

Management of Occlusion in a Completely Edentulous Patient with Abnormal Jaw Relation

ABSTRACT Complete edentulous patients are not an uncommon finding in day to day prosthodontic clinical practice. Retention and stability are important key factors in successful treatment of a complete denture patient. A...

Stereomicroscopic Dye Leakage Measurement of Six Different Root Canal Sealers

Introduction: Hermetic sealing of the root canal is the most desirable outcome of any root canal treatment, but almost always the filling of the root canal is defective, which is a multifactorial outcome. One such factor...

The Efficacy of Plaque Control by Various Toothbrushing Techniques-A Systematic Review and Meta-Analysis

ABSTRACT Introduction: Efficient removal of dental plaque plays a key role in the maintenance of oral health. Dental Plaque is responsible for the occurrence of dental caries and periodontal diseases. Aim: To compare the...

Comparative Evaluation of The Efficacy of Aloe Vera Gel with Milk and Hank’s Balanced Salt Solution in Maintaining the Viability of PDL Cells in Avulsed Teeth

ABSTRACT Introduction: Various storage media have been investigated due to their ability to maintain the viability of the Periodontal Ligament (PDL) cells, thus permitting longer extra-alveolar periods prior to replantat...

Dental Erosive Potency of Commercially Available Ice Candies in India Using an Invitro Model

Introduction: Recent studies have shown that frozen fruit juices cause a greater drop in dental plaque and salivary pH. Since ice candies contain ingredients such as citric acid, sugar and flavouring substances similar t...

Download PDF file
  • EP ID EP363016
  • DOI 10.7860/JCDR/2017/28718.10584
  • Views 71
  • 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