Transbronchial Cryobiopsy for Miliary Tuberculosis Mimicking Hypersensitivity Pneumonitis

被引：2

作者：

Nasu, Shingo ^{[1
]}

Kawahara, Kunimitsu ^{[2
]}

Han, Yuki ^{[3
]}

Okamoto, Norio ^{[1
]}

Tamura, Yoshitaka ^{[3
]}

Suzuki, Hidekazu ^{[1
]}

Shiroyama, Takayuki ^{[1
]}

Samejima, Yumiko ^{[1
]}

Kanai, Tomohiro ^{[1
]}

Noda, Yoshimi ^{[1
]}

Tanaka, Ayako ^{[1
]}

Morishita, Naoko ^{[1
]}

Ueda, Kayo ^{[2
]}

Hashimoto, Shoji ^{[3
]}

Hirashima, Tomonori ^{[1
]}

Nagai, Takayuki ^{[3
]}

机构：

[1] Osaka Habikino Med Ctr, Dept Thorac Oncol, Osaka, Japan

[2] Osaka Prefectural Hosp Org, Osaka Habikino Med Ctr, Dept Pathol, Osaka, Japan

[3] Osaka Habikino Med Ctr, Dept Infect Dis, Osaka, Japan

来源：

INTERNAL MEDICINE | 2021年 / 60卷 / 03期

关键词：

cryobiopsy; forceps biopsy; miliary tuberculosis; hypersensitivity pneumonitis; DIAGNOSTIC YIELD; LUNG-DISEASES; BIOPSY; INCREASES; UTILITY; SAFETY;

D O I：

10.2169/internalmedicine.4511-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Miliary tuberculosis is a potentially lethal type of tuberculosis that results from the hematogenous dissemination of Mycobacterium tuberculosis bacilli. We herein describe the case of a 34-year-old man that presented with a one-month history of cough and fever, while his sputum smear results were negative. Chest computed tomography revealed bilateral centrilobular ground-glass opacification (GGO), suggestive of hyper-sensitivity pneumonitis; thus, bronchoscopy was performed. Cryobiopsy specimens revealed necrotic granulomas. A re-examination of sputum after bronchoscopy identified Mycobacterium tuberculosis, and miliary tuberculosis was diagnosed. A cryobiopsy might be useful for diagnosing miliary tuberculosis pathologically, particularly when miliary nodules may he masked by GGO.

引用

页码：445 / 448

页数：4

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