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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2011 December;170(6):461-6

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: Italian

Diagnosis, treatment and endoscopic follow-up of 17 cases of endotracheobronchial tubercolosis

Guarino C. 1, Cesaro C. 1, La Cerra G. 2, Iepparelli G. 1, Cesaro F. 3, Rea G. 4, Della Gatta O. 5, Antinolfi G. 6

1 U.O.C. Pneumologia interventistica, A.O. Monaldi di Napoli 2 U. O.C. Clinica Pneumologica, Seconda Università di Napoli (SUN), A.O. Monaldi di Napoli 3 Medicina e chirurgia, Seconda Università di Napoli (SUN) 4 Dipartimento dei Servizi Diagnostici e Generali AORN Monaldi di Napoli 5 Dipartimento di Area Critica, Anestesia, Terapia Intensiva e Post Operatoria, A.O.R.N. V. Monaldi di Napoli 6 Dipartimento dei servizi Diagnostici e Generali, Anatomia Patologica V. Monaldi di Napoli


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Endotracheobronchial tuberculosis (ETBT) represents a pathological condition rather complex, in many cases particularly difficult to diagnose. The cough is often the only symptom, and this situation often results in a delay in diagnosis. The cough associated with ETBT is in most cases resistant to common symptomatic. The diagnosis is based on the evidence of bacilli ETBT alcohol-acid resistance in sputum and/or bronchial aspirate bronchoscopy under investigation videos. Bronchoscopy also plays a major role in the diagnosis of the disease since it allows to observe changes in the bronchial mucosa in patients with ETBT and make of bronchial aspirates and biopsies on areas of mucosa and thereby to obtain an early diagnosis and appropriate medical treatment begin promptly. The video fiberoptic bronchoscopy is also of a fundamental role in the follow-up during and after antituberculosis therapy.

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