Nodule du poumon
Journal Title: JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY - Year 2017, Vol 8, Issue 24
Abstract
Pulmonary tuberculosis is a major public health problem. In its common form, diagnosis is usually easy, but it can be presented in unusual form and causes diagnostic and therapeutic delay. We report a case of pseudo-tumoral pulmonary tuberculosis. This is a 57-year-old patient, smoker, complaining of left chest pain with decreased overall condition. The chest x-ray showed a heterogeneous oval left apical opacity with irregular contours. The biological evaluation was without anomalies. BK researches in sputum were negative on direct examination. Bronchial fibroscopy was normal. The thoracic CT scan concluded to a pulmonary nodule with a diameter of 2 cm and spiculous contours in the seat of culmina. The pulmonary nodule had a homogeneous density, enhanced after injection of contrast agent and it is associated with signs of lung fissure attraction. Multiple bilateral mediastinal lymph nodes were noted. Given to the age, smoking exposure and radiological features of the nodule, malignant origin was suspected. A surgical biopsy for diagnostic and therapeutic purposes has been proposed. The peroperative exploration has found a nodule of 3cm at the level of culmen. A biopsy wedge was performed. The extemporaneous examination and the final pathological examination concluded to a tuberculoma. Through this observation, we emphasize that pseudo-tumoral pulmonary tuberculosis is a particular form of tuberculosis by its radio-clinical presentation, which can mimic bronchopulmonary cancer.
Authors and Affiliations
Ben Mansour Amani
Keywords
Related Articles
- EP ID EP367846
- DOI 10.12699/jfvpulm.8.24.2017.44
- Views 50
- Downloads 0
Screening for tuberculosis using the MTB/RIF test in Guinea's prisons during 2018
Objective. To contribute to make better for tuberculosis infection in the prisons in Guinea. Methodology. This is a descriptive and analytical prospective study of active TB screening in the Central House and 7 regional...
About a cervico-mediastinal fluid collection
Mediastinal locations of Hodgkin's lymphomas are quite common. They can be revealed by an infectious syndrom and atypical radiological images leading to a wandering diagnosis and a therapeutic delay. We present the case...
Primitive pleural lymphoma developed on sequelae of pneumothorax therapeutics
We report the medical observation of an 84-year-old patient with pleural lymphoma B developed on sequelae of pneumothorax therapeutic tuberculosis in 1949. This is a case of large EBV +, CD20 +, CD 79 A +, CD2 +, CD3 + l...
Study the effect of Plectranthii amboinicii’s tea in treatment of acute bronchitis
Plectranthii amboinicii (Lour.) Speng - Lamiaceae (Me36xican mint) is a plant used by Vietnamese people for eating and treating some illnesses. This study is designed to quantify the oil content extraction of Folium Plec...
Obstructive Sleep Apnea (OSA) in children: Fact and Challenge
Obstructive sleep apnea (OSA) is a continuous and repetitive episode of partial or complete obstruction of the upper respiratory tract during sleep resulting in complete hypopnea or apnea although these subjects still ha...