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Diffuse miliary nodules in the bronchial mucosa observed by bronchoscopy: sarcoidosis or tuberculosis?

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机构: [1]Shanghai Jiao Tong Univ, Sch Med, Shanghai Tongren Hosp, Dept Pulm, 1111 Xianxia Rd, Shanghai 200336, Peoples R China [2]Shanghai Fudan Univ, Dept Pulm, Shanghai Zhongshan Hosp, Sch Med, Shanghai, Peoples R China
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关键词: bronchoscopy miliary tuberculosis sarcoidosis

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Background and AimsMiliary tuberculosis is a form of tuberculosis that is characterized by a wide dissemination into lung fields. So far, no report has shown a miliary tuberculosis case where diffuse miliary nodules can be observed in airways by bronchoscopy. Here we reported a case of military tuberculosis that can easily be misdiagnosed as sarcoidosis. MethodsReport of one case. ResultsBronchoscopy showed the presence of diffuse miliary nodules in the mucosa of bilateral bronchi. Pathological examination revealed non-caseating necrotic granuloma. Mycobacterium tuberculosis was not detected. Our case was extremely difficult to differentiate sarcoidosis from tuberculosis. With patient's safety in mind, we finally administered anti-tuberculosis therapy and obtained satisfactory results. ConclusionTo our knowledge, this is the first report of a miliary tuberculosis case where diffuse miliary nodules were observed by bronchoscopy. Therefore, when diffused miliary nodules are observed during bronchoscopy, all of the patient's test results should be thoroughly analyzed to rule out miliary tuberculosis. If the diagnosis is very difficult, anti-tuberculosis therapy should be considered first to ensure patient safety.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 呼吸系统
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 呼吸系统
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出版当年[2015]版:
Q3 RESPIRATORY SYSTEM
最新[2023]版:
Q3 RESPIRATORY SYSTEM

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第一作者机构: [1]Shanghai Jiao Tong Univ, Sch Med, Shanghai Tongren Hosp, Dept Pulm, 1111 Xianxia Rd, Shanghai 200336, Peoples R China [*1]Pulmonary Department, Shanghai Tongren Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1111 Xianxia Road Shanghai 200336, China
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通讯机构: [1]Shanghai Jiao Tong Univ, Sch Med, Shanghai Tongren Hosp, Dept Pulm, 1111 Xianxia Rd, Shanghai 200336, Peoples R China [*1]Pulmonary Department, Shanghai Tongren Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1111 Xianxia Road Shanghai 200336, China
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