Title:Endobronchial Tuberculosis in an HIV-positive Case
Volume: 22
Issue: 1
Author(s): Savaş Gegin*, Burcu Özdemir, Özgür Günal, Şeyma Topal, Çiğdem Uzun and Levent Özdemir
Affiliation:
- Department of Pulmonology, Samsun Training and Research Hospital, Samsun, Türkiye
Keywords:
HIV, endobronchial tuberculosis, bronchial carcinoma, kaposi sarcoma, lymphoma, endobronchial aspergillosis.
Abstract:
Introduction: Tuberculosis is an opportunist infection that is fatal and most frequently
seen in HIV-positive patients due to immunosuppression. Endobronchial lesions can portray
symptoms in different ways. Endobronchial Tuberculosis is one of these lesions.
Case Report: An HIV-positive, untreated 26-year-old patient with fever, cough, and dyspnea consulted
our clinic. In the chest X-ray taken, effusion on the right side and non-homogeneous density
increase in the middle and upper lobes, bilaterally more prominent on the right side, were observed.
Therefore, the patient underwent bronchoscopy because the CT (computerized tomography)
showed mediastinal lymphadenopathy (LAP) and an endobronchial lesion in the left main
bronchus. During bronchoscopy, a vegetative endobronchial lesion that causes obstruction in the
left main bronchus was monitored. With the help of Pathology and PCR results, endobronchial
tuberculosis was diagnosed.
Conclusion: Even if Acid-alcohol-resistant Bacillus (ARB) is detected negative in patients who
stop responding to antimicrobial treatment and are being monitored under radiological scanning, a
distinctive diagnosis of endobronchial tuberculosis should be kept in mind while performing
bronchoscopy.
