The Role of Bronchoscopy in the Diagnosis of Sputum Smear Negative Pulmonary Tuberculosis
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Diagnosis of sputum/smear-negative pulmonary tuberculosis patients can be both challenging and time consuming with many patients being put on empirical anti-tubercular treatment. Bronchoscopy may provide a confirmative and early diagnosis in such patients. Aims And Objective: To assess the role of fibreoptic bronchoscopy in patients with suspected pulmonary tuberculosis who have no or inadequate sputum or have a sputum smear negative for acid fast bacillus (AFB) on two samples as per RNTCP 2013 guidelines. Materials And Methods: The study was conducted in department of Pulmonary Medicine, SRMS Institute of Medical Science, Bareilly from 1st Jan 2015 to 31st Dec 2015. Fourty six patients with clinical and radiological evidence of pulmonary TB with no or inadequate sputum or smear negative for AFB on two samples were studied. Fibreoptic bronchoscopy was performed; bronchial washings and bronchial brush was taken. The specimens were subjected to Ziehl Neelsen staining and were examined under oil immersion lens for the presence of AFB. Results: In suspected cases of sputum smear negative pulmonary tuberculosis, the diagnosis of tuberculosis (smear positive) was established in 23 (50%) patients in bronchial brush and 21 (45.7%) patients were positive in bronchial wash, highlighting its role in diagnosis of pulmonary tuberculosis. Patients were followed up after 6 months and those positive for AFB responded well to ATT. Conclusion: Bronchoscopy is a useful tool in diagnosis of pulmonary tuberculosis in sputum smear negative patients. Bronchoscopy reveals a higher bacteriological confirmation of diagnosis in patients with strong clinical and radiological evidence suggestive of pulmonary tuberculosis and those having more risk factors.
Authors and Affiliations
Vikash Gupta
Keywords
Related Articles
- EP ID EP274073
- DOI -
- Views 70
- Downloads 0
Giant Cutaneous Horn of Leg: A Case Report
A 35-year-old male presented with a giant cutaneous horn over the right leg. The patient was continuously exposed to minor trauma/ irritation at the site of development of the horn. There was bleeding from the base of ho...
A Rare Cause of Sciatic Pain: Multiple Schwannoma of Sciatic Nerve
We report a case of 35 year old male with complaints of swelling in posterior aspect of left thigh since 9 years and pain in left lower limb since 2 months. MRI showed two well defined discrete lesions in relation to lef...
Clinical Study of Sterile Collagen Particles (Biofil) in the Management of Chronic Non Healing Ulcers
Introduction: Patients who are suffering from non healing ulcers may lead into a significant problems and prolonged stress. Pain and discomfort are the main complaint of chronic non healing ulcer patients1 . Pain may be...
Normal Pressure Hydrocephalus in a Tertiary Care Centre
Normal Pressure Hydrocephalus is a clinical condition associated with gait ataxia, dementia and urinary incontinence and pathologically enlarged ventricles with normal opening pressures. The presenting complaints are hig...
Comparative Study between Mini Incision Open Appendectomy and Laparoscopic Appendectomy in Terms of Post Operative Pain Length of Hospital Stay and Return to Normal Life
To compare mini incision open appendectomy and laparoscopic appendectomy in terms of post operative pain length of hospital stay and return to normal life. 100 patients with appendicitis were randomized into mini incisio...