Endobronchial tuberculosis mimicking lung cancer in elderly patients

Brande, P. Van den; Lambrechts, Marc; Tack, Jan; Demedts, Maurits

doi:10.1016/s0954-6111(06)80286-6

Cited by 24 publications

(14 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(6,15) Within this context, we found that more diseases associated with the elderly, especially diabetes, lung diseases, and cardiovascular diseases, which is in accordance with the findings of other authors. (16)(17)(18)(19)(20) Other lung diseases, present in 38% of the elderly patients with concomitant diseases, might be confounding factors in the diagnosis of pulmonary tuberculosis, since they present similar symptoms. Diabetes mellitus was also found to be strongly associated with advancing age, in accordance with the findings of other authors, (19,20) who include this disease in the list of those which increase the susceptibility to pulmonary tuberculosis, even causing alterations in the usual radiological aspect of the disease, such as involvement of the lower lobes.…”

Section: Discussionmentioning

confidence: 99%

Análise do tratamento da tuberculose pulmonar em idosos de um hospital universitário do Rio de Janeiro, RJ, Brasil

2007

View full text Add to dashboard Cite

Objective: To describe the clinical and therapeutic aspects of pulmonary tuberculosis and compare the adverse effects of the treatment and its outcome in elderly and nonelderly patients. Methods: This was a case-control study of 117 elderly individuals (over the age of 60 years) and 464 nonelderly individuals (aged 15-49 years). All subjects presented pulmonary tuberculosis that had been diagnosed and treated at the Thoracic Diseases Institute of the Federal University of Rio de Janeiro between 1980 and 1996. Results: In the elderly group, pulmonary tuberculosis was found to be correlated with diabetes (OR = 3.98; 95% CI = 2.07-7.65; p = 0.001), lung disease (OR = 7.24; 95% CI = 3.64-14.46; p = 0.001) and heart disease (OR = 5.86; 95% CI = 2.88-11.95; p = 0.001). Smoking (OR = 2.07; 95% CI = 1.26-3.42; p = 0.002) and alcohol abuse (OR = 1.63; 95% CI = 1.01-2.68; p = 0.041) were also more common in the elderly group. In the elderly group, the treatment more frequently resulted in adverse reactions (OR = 1.62; 95% CI = 1.04-2.54; p = 0.024), especially gastrointestinal reactions (OR = 1.64; 95% CI = 1.01-2.77; p = 0.047), and treatment efficacy was lower: cure rate, 51%; mortality rate, 24%. Treatment adherence was low (approximately 77%) in both groups. Conclusions: In the elderly group, adverse reactions were more common, treatment outcomes were less favorable, there was a greater frequency of clinical complications and deaths related to drug toxicity, and the prevalence of concomitant diseases was higher.

show abstract

Section: Discussionmentioning

confidence: 99%

Análise do tratamento da tuberculose pulmonar em idosos de um hospital universitário do Rio de Janeiro, RJ, Brasil

2007

View full text Add to dashboard Cite

show abstract

“…Sağ taraf kitlenin tomografiğinde etrafında satellit nodülleri mevcuttu. Bunun yanında, kanseri taklit eden tüberküloz olgularına bakıldığında en sık neden olarak endobronşiyal tüberküloz görülmektedir [5]. Fakat bizim olgumuzda endobronşiyal lezyon saptanmadı.…”

Section: Discussionunclassified

Mass mimicking tuberculosis cases diagnosed postoperatively

Meteroğlu

Abakay²,

Monis³

et al. 2014

J Clin Exp Invest

View full text Add to dashboard Cite

Tuberculosis is a disease that occurs with different radiological manifestations. Although not frequent, tuberculosis cases seen as pulmonary masses have been reported in the literature. It is difficult to diagnose pulmonary tuberculosis definitely and to rule out a tumor in patients presenting with image of a pulmonary mass. In this paper, we discussed difficulties in diagnosis of two patients, aged 42 and 65 years, who admitted with a mass image on their chest x-rays to our clinic. Positron emission tomography images were taken following computerized tomography. Acid fast bacteria, bronchoalveolar lavage and bronchoscopic biopsies were not diagnostic. Therefore, surgery was used to establish the diagnosis. In the first patient, lobectomy was carried out with wedge resection due to peroperative suspected malignancy report of frozen section. Definitive report, however, yielded tuberculosis. Both patients received antituberculosis treatment and both were well at routine follow up examinations. Tuberculosis should be kept in mind when a mass is encountered in an endemic area such as our country. J Clin Exp Invest 2014; 5 (3): 462-465

show abstract

“…It is very important to distinguish it from bronchopulmonary carcinoma. 3 Bronchial tuberculosis is often associated with pulmonary tuberculosis. The radiographs and bronchoscopic findings of bronchial tuberculosis may be similar to those of carcinoma but usually are not difficult to differentiate from those of bronchial carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Bronchial Tuberculosis

Xia¹,

Ma²,

Xu³

1997

Acta Cytologica

View full text Add to dashboard Cite

Endobronchial tuberculosis mimicking lung cancer in elderly patients

Cited by 24 publications

References 11 publications

Análise do tratamento da tuberculose pulmonar em idosos de um hospital universitário do Rio de Janeiro, RJ, Brasil

Análise do tratamento da tuberculose pulmonar em idosos de um hospital universitário do Rio de Janeiro, RJ, Brasil

Mass mimicking tuberculosis cases diagnosed postoperatively

Bronchial Tuberculosis

Contact Info

Product

Resources

About