Adenobronchial fistula secondary to tuberculosis in an immunocompetent adult patient

A sputum microbiological study was performed observing resistant alcohol-acid bacilli, with positive Xpert Mycobacterium tuberculosis (MTB)/Rifampicin (RIF) study and culture of mycobacteria with MTB isolate sensitive to all first-line drugs. In a study by Park et al, the tomographic characteristics...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2018-11, Vol.2018, p.bcr-2018-225275
Main Authors: Madrid Carbajal, Claudia Janeth, Nava Tomás, Encarnación, Ariza Prota, Miguel, Enríquez Rodríguez, Ana Isabel, García Clemente, Marta
Format: Article
Language:English
Subjects:
Accuracy
Aged
Bronchial Fistula - immunology
Bronchial Fistula - microbiology
Case reports
Fistula
Fistula - immunology
Fistula - microbiology
Gangrene
Humans
Images In
Immunocompetence
Lupus
Lymphadenopathy - immunology
Lymphadenopathy - microbiology
Male
Medical diagnosis
Medical imaging
Mycobacterium tuberculosis
Patients
Tuberculosis
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - immunology
Tuberculosis, Pulmonary - microbiology
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A sputum microbiological study was performed observing resistant alcohol-acid bacilli, with positive Xpert Mycobacterium tuberculosis (MTB)/Rifampicin (RIF) study and culture of mycobacteria with MTB isolate sensitive to all first-line drugs. In a study by Park et al, the tomographic characteristics were described in seven patients with active pulmonary tuberculosis and adenobronchial fistula, concluding that the fistula occurs as a complication of extensive pulmonary tuberculosis with involvement of more than four lobes, occurring mainly in patients older than 72 years old and mainly involving the right bronchial side.3 In our case there is only involvement of RIL and the involvement was of both main bronchi in an immunocompetent patient. [...]adenobronchial fistulisation due to tuberculosis is an exceptional complication in adult patients without immunosuppression.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-225275