One not to miss: Tuberculous tracheal stenosis

Ruiz, Ana Campo; Carrascosa, Miguel F; García-Rivero, Juan Luis; Rodríguez, Gerardo Blanco; Hoz, Marta Cano; Sáenz, Elena Casuso

doi:10.1016/j.rmcr.2020.101040

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…6 Patients with pulmonary TB and continuous respiratory symptoms during or after treatment should be assessed for tracheobronchial involvement. 9 This finding is in line with this study. The patient was a woman with symptom duration above 4 weeks, shortness of breath and stridor occurred after 5 months from symptom onset.…”

Section: Discussionsupporting

confidence: 91%

“…7 Patients with pulmonary TB and continuous respiratory symptoms during or after treatment should be assessed for tracheobronchial involvement. 9 The clinical feature of patients with tracheal fibrostenosis varies depending on the cause, location of the lesion, degree of luminal narrowing, and progression of the lesion. The general condition of the patient also plays an important role.…”

Section: Introductionmentioning

confidence: 99%

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Pin Point Trachea: A Case Report

Candrawati

Singgih

Yasa

et al. 2022

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Introduction: Pin point trachea is a rare case. It is caused by tuberculosis (TB) and trauma due to intubation procedure. Main complication of this abnormality is respiratory failure. It can be diagnosed through bronchoscopy. Managements of this abnormality are interventional bronchoscopy and treating the etiology. Surgery is considered if interventional bronchoscopy failed or cannot be performed.Case: A 29-year-old woman came to the emergency room complaining shortness of breath and hoarseness since two months before hospitalized. The patient also experienced cough, decreased body weight and appetite since 7 months earlier. The patient was diagnosed with bacteriologically confirmed TB and anti-TB drug was given. Cough symptom was decreasing but shortness of breath and hoarseness remained after treatment. Physical examination showed decreased vesicular sound and stridor. Bronchoscopy revealed narrow tracheal lumen (pin point) with fibrosis. Thoracic computed tomography (CT) scan showed severe narrowing of tracheal lumen at thoracic vertebrae 1-2. Surgery was performed to cut the fibrotic tissue and tracheostomy was placed at stenosis area.Conclusion: Pin point trachea is a rare case. One of the causes is tracheobronchial TB. The main managements are optimal administration of anti-TB drugs and interventional bronchoscopy or surgery.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Pin Point Trachea: A Case Report

Candrawati

Singgih

Yasa

et al. 2022

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“… 7 , 8 TBTB can result in thickening of the tube wall, narrowing of the tube lumen, bronchial dissemination, bronchiectasis, and may also contribute to airway stenosis. 9 Sme of the clinical manifestations of TBTB lack specificity, so vigilance is necessary. Combined with imaging, timely improvement of bronchoscopy examination, and early treatment, these manifestations can also lead to tracheal and bronchial stenosis.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Pulmonary Tuberculosis with Tracheobronchial Tuberculosis: Propensity Score Matching Analysis

Feng,

Guo,

Luo

et al. 2024

IDR

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Background Pulmonary tuberculosis (PTB) with tracheobronchial tuberculosis (TBTB) can lead to tracheal stenosis and atelectasis, but the specific risk factors are currently unclear. Therefore, the goal of this retrospective study is to address this issue and help with the early diagnosis of TBTB. Methods Please include PTB hospitalized in our hospital from January 2021 to October 2023 in the study. After conducting bronchoscopy examinations, the patients were divided into two groups: the PTB group and the PTB&TBTB group. We used the propensity score matching (PSM) to align the baseline data of the two groups of patients, and then performed multiple logistic regression analysis to identify risk factors. Results 643 patients with PTB were included in the study, 227 of whom (35.30%) were diagnosed with TBTB. A total of 204 pairs of patients were successfully matched using the PSM. After matching, there were no statistically significant differences in basic information between the two groups of patients ( P >0.05). Multivariate logistic regression analysis revealed that disease course ≥ 1 month (OR=1.85, 95% CI: 1.21–2.83), complicated with diabetes (OR=3.00, 95% CI: 1.91–4.70), and concomitant pulmonary cavity (OR=3.46, 95% CI: 2.23–5.36) were risk factors for PTB accompanied by TBTB (all P <0.05). Conclusion After adjusting for various influencing factors using PSM, the analysis demonstrated that disease course ≥ 1 month, complicated with diabetes, and concomitant pulmonary cavity are risk factors for PTB combined with TBTB. This emphasizes the significance of improving screening and implementing early intervention measures.

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“…Tuberculosis and aspergillosis are infectious causes of tracheobronchial stenosis 5. In tuberculosis, the incidence of tracheobronchial stenosis may range from 10% to 40% 6. Aspergillus tracheobronchitis causing airway stenosis is more frequently seen in immunocompromised patients and is commonly described in postlung transplant settings 7…”

Section: Discussionmentioning

confidence: 99%