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Clinical Image
Endobronchial Tuberculosis on Video: Different Evolutionary Phases
Milko Terranova Ríos
Corresponding author
mil610@hotmail.com

Corresponding author.
, Ana Andrés Blanco, Fernando Gil Diez
Department of Pneumology, Hospital Universitario Rio Hortega, Valladolid, Spain
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            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In the antero-lateral tracheal wall&#44; thorax CT scan shows calcified nodules&#44; which protrude into the airway &#40;A&#8211;D&#44; red arrows&#41;&#46; Large nodules&#44; above the tracheal cannula cuff&#44; are in contact with the cannula itself and occluding the tracheal lumen &#40;B&#41;&#46; Bronchoscopy reveals firm and glossy nodules with intact mucosa layer &#40;E and F&#44; black arrows&#41;&#44; the posterior tracheal wall is spared&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 83-year-old non-smoking woman with a medical history of essential hypertension&#44; type 2 diabetes mellitus&#44; and IgA Lambda monoclonal gammopathy presented with chronic cough&#44; fatigue&#44; and progressive weight loss over 2 years&#46; A chest CT scan revealed a patchy bilateral infiltrate&#44; diffuse bronchiectasis&#44; and cavitated lesion over right lower lobe &#40;RLL&#41;&#46; Subsequent diagnostic bronchoscopy was performed&#44; with positive result for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> &#40;positive bacilloscopy&#44; PCR and culture&#44; with necrotic biopsy&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">During the respiratory endoscopic study &#40;<a class="elsevierStyleCrossRef" href="#sec0025">Video 1</a>&#44; <a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41; different evolutionary types were observed &#40;type F&#44; C&#44; A&#41; of endobronchial tuberculosis &#40;EBTB&#41; in the same patient&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">EBTB is classified according to Chung and Lee<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>&#58; A&#44; active caseation&#59; B&#44; edematous-hyperemic&#59; C&#44; fibrostenotic&#59; D&#44; tumour&#59; E&#44; granular&#59; F&#44; ulcerative&#59; and G&#44; nonspecific bronchitis&#46; The pathogenesis may include direct implantation&#44; infiltration&#44; erosion and protrusion of tuberculous lymph node into the bronchus and hematogenous spread or lymphatic&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> It has a variable incidence&#44; underdiagnosed because routine bronchoscopy is not performed&#46; Different types may appear in the same patient&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> with a worse prognosis&#44; types A&#44; B&#44; C&#44; D&#44; because they are associated with residual tracheobronchial stenosis&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Therefore&#44; not only anti-tuberculosis treatment is very important for prevent stenosis&#44; but also diagnosis and endoscopic follow-up&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Informed Consent</span><p id="par0020" class="elsevierStylePara elsevierViewall">Written informed consent was obtained from the guardian for the publication of the article&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">There was no funding source in this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of Interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest&#46;</p></span></span>"
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                          "autores" => array:4 [
                            0 => "Q&#46; Xue"
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                        "tituloSerie" => "Eur J Clin Microbiol Infect Dis"
                        "fecha" => "2011"
                        "volumen" => "30"
                        "paginaInicial" => "1039"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Bronchoscopic assessment of the evolution of endobronchial tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;S&#46; Chung"
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                      "doi" => "10.1378/chest.117.2.385"
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Article information
ISSN: 03002896
Original language: English
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