Epituberculosis Revisited: Case Report and Review

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 m...
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Autor*in:	Lavina Vishnu Mirchandani [verfasserIn] Sindhu S Kamath [verfasserIn] Jayalakshami Thelapurath Kutty [verfasserIn] Aparna Iyer [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	atelectasis collapse consolidation hilar lymphadenopathy

Übergeordnetes Werk:	In: Journal of Clinical and Diagnostic Research - JCDR Research and Publications Private Limited, 2009, 11(2017), 9, Seite OD05-OD07
Übergeordnetes Werk:	volume:11 ; year:2017 ; number:9 ; pages:OD05-OD07

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.7860/JCDR/2017/28718.10584

Katalog-ID:	DOAJ030860903

Internformat


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520			\|a 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.
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spelling	10.7860/JCDR/2017/28718.10584 doi (DE-627)DOAJ030860903 (DE-599)DOAJe5e1754c3ee34aad9b802c61b73472dc DE-627 ger DE-627 rakwb eng Lavina Vishnu Mirchandani verfasserin aut Epituberculosis Revisited: Case Report and Review 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. atelectasis collapse consolidation hilar lymphadenopathy Medicine R Sindhu S Kamath verfasserin aut Jayalakshami Thelapurath Kutty verfasserin aut Aparna Iyer verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 11(2017), 9, Seite OD05-OD07 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:11 year:2017 number:9 pages:OD05-OD07 https://doi.org/10.7860/JCDR/2017/28718.10584 kostenfrei https://doaj.org/article/e5e1754c3ee34aad9b802c61b73472dc kostenfrei https://jcdr.net/articles/PDF/10584/28718_130917_28718_CE[Ra]_F(Sh)_PF1(PG_GG)_PFA(VJ_SS).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 9 OD05-OD07
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allfieldsGer	10.7860/JCDR/2017/28718.10584 doi (DE-627)DOAJ030860903 (DE-599)DOAJe5e1754c3ee34aad9b802c61b73472dc DE-627 ger DE-627 rakwb eng Lavina Vishnu Mirchandani verfasserin aut Epituberculosis Revisited: Case Report and Review 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. atelectasis collapse consolidation hilar lymphadenopathy Medicine R Sindhu S Kamath verfasserin aut Jayalakshami Thelapurath Kutty verfasserin aut Aparna Iyer verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 11(2017), 9, Seite OD05-OD07 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:11 year:2017 number:9 pages:OD05-OD07 https://doi.org/10.7860/JCDR/2017/28718.10584 kostenfrei https://doaj.org/article/e5e1754c3ee34aad9b802c61b73472dc kostenfrei https://jcdr.net/articles/PDF/10584/28718_130917_28718_CE[Ra]_F(Sh)_PF1(PG_GG)_PFA(VJ_SS).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 9 OD05-OD07
allfieldsSound	10.7860/JCDR/2017/28718.10584 doi (DE-627)DOAJ030860903 (DE-599)DOAJe5e1754c3ee34aad9b802c61b73472dc DE-627 ger DE-627 rakwb eng Lavina Vishnu Mirchandani verfasserin aut Epituberculosis Revisited: Case Report and Review 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. atelectasis collapse consolidation hilar lymphadenopathy Medicine R Sindhu S Kamath verfasserin aut Jayalakshami Thelapurath Kutty verfasserin aut Aparna Iyer verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 11(2017), 9, Seite OD05-OD07 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:11 year:2017 number:9 pages:OD05-OD07 https://doi.org/10.7860/JCDR/2017/28718.10584 kostenfrei https://doaj.org/article/e5e1754c3ee34aad9b802c61b73472dc kostenfrei https://jcdr.net/articles/PDF/10584/28718_130917_28718_CE[Ra]_F(Sh)_PF1(PG_GG)_PFA(VJ_SS).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 9 OD05-OD07
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source	In Journal of Clinical and Diagnostic Research 11(2017), 9, Seite OD05-OD07 volume:11 year:2017 number:9 pages:OD05-OD07
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topic_facet	atelectasis collapse consolidation hilar lymphadenopathy Medicine R
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authorswithroles_txt_mv	Lavina Vishnu Mirchandani @@aut@@ Sindhu S Kamath @@aut@@ Jayalakshami Thelapurath Kutty @@aut@@ Aparna Iyer @@aut@@
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author	Lavina Vishnu Mirchandani
spellingShingle	Lavina Vishnu Mirchandani misc atelectasis misc collapse misc consolidation misc hilar lymphadenopathy misc Medicine misc R Epituberculosis Revisited: Case Report and Review
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topic_title	Epituberculosis Revisited: Case Report and Review atelectasis collapse consolidation hilar lymphadenopathy
topic	misc atelectasis misc collapse misc consolidation misc hilar lymphadenopathy misc Medicine misc R
topic_unstemmed	misc atelectasis misc collapse misc consolidation misc hilar lymphadenopathy misc Medicine misc R
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title	Epituberculosis Revisited: Case Report and Review
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title_sort	epituberculosis revisited: case report and review
title_auth	Epituberculosis Revisited: Case Report and Review
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.
abstractGer	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.
abstract_unstemmed	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.
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title_short	Epituberculosis Revisited: Case Report and Review
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