Middle lobe syndrome: an extraordinary presentation of endobronchial tuberculosis.

We report this exceptional clinical manifestation in a 19-year-old male, who presented for evaluation of respiratory symptoms for 6 months along with constitutional complaints. Imaging suggested the presence of MLS and bronchoscopy established the diagnosis of endobronchial tuberculosis. GeneXpert evaluation of bronchial aspirate detected Mycobacterium tuberculosis. Histopathology confirmed the presence of granulomatous lesions. Subsequently, the cultures of bronchial aspirate and post-bronchoscopy sputum grew M. tuberculosis. Appropriate therapy with anti-tuberculosis drugs resulted in a remarkable symptomatic and radiological improvement. EBTB presenting as a MLS is a distinct rarity.
PMID: 26379001 [PubMed - in process]

Source: Pneumonologia i Alergologia Polska - September 19, 2015 Category: Respiratory Medicine Authors: Garg T, Gera K, Shah A Tags: Pneumonol Alergol Pol Source Type: research