مقالة علمية
Role of Fiberoptic Bronchoscopy in the Rapid Diagnosis of Sputum Smearnegative Disseminated Tuberculosis with Pulmonary Miliary Infiltrates

Khan, Fahmi Yousef.


 

Role of Fiberoptic Bronchoscopy in the Rapid Diagnosis of Sputum Smearnegative Disseminated Tuberculosis with Pulmonary Miliary Infiltrates

Khan, Fahmi Yousef.

Objectives: We sought to evaluate the role of bronchoscopy-related procedures such as bronchoalveolar lavage (BAL ), bronchial wash (BW), bronchial brush (B brush), transbronchial biopsy (TBB), and post-bronchoscopy sputum (PBS), alone or in combination, in the rapid diagnosis of negative sputum smear disseminated tuberculosis (TB). Methods: We performed a secondary post hoc analysis of data collected from our previous study entitled “Disseminated tuberculosis among adult patients admitted to Hamad General Hospital, Qatar: A five-year hospital-based study” with a modified objective. Results: We identified 27 patients. BAL fluid was positive for acid-fast bacilli (AFB) smear in 7/27 (25.9%) patients and were culture-positive for Myobacterium tuberculosis in 17/27 (63.0%) cases, while BW collections were smear-positive in 9/27 (33.3%) cases and culture-positive for M. tuberculosis in 18/27 (66.7%) cases. TBB showed caseating granulomas in 10/16 (62.5%) cases and one case of non-caseating granuloma (6.3%). PBS was positive for AFB in 4/8 (50.0%) patients. The combination of these procedures enabled us to diagnose disseminated TB rapidly in 22 (81.5%) cases. Conclusions: Bronchoscopy proved to be an effective method for the rapid diagnosis of disseminated TB in patients in whom sputum smear microscopy was negative

Objectives: We sought to evaluate the role of bronchoscopy-related procedures such as bronchoalveolar lavage (BAL ), bronchial wash (BW), bronchial brush (B brush), transbronchial biopsy (TBB), and post-bronchoscopy sputum (PBS), alone or in combination, in the rapid diagnosis of negative sputum ...

المؤلف : Khan, Fahmi Yousef.

مؤلف مشارك : Aladab, Aisha Hussin

بيانات النشر : Muscat، Sultanate of Oman : Oman Medical Journal، يناير 2020مـ.

التصنيف الموضوعي : العلوم التطبيقية|العلوم الطبية .

المواضيع : Mycobacterium tuberculosis .

Tuberculosis .

رقم الطبعة : 1

المصدر : Oman Medical Journal : Muscat، Sultanate of Oman.

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