Analysis of Misdiagnosis of Six Cases of Bronchial Tuberculosis
TAN Min
ZHAO Chuan
WANG Wen-ping
Abstract：Objective To investigate clinical features of bronchial tuberculosis ( BT) and the causes of mis-diagnosis. Methods The clinical data of 6 cases of BT misdiagnosed as pneumonia in our hospital were analyzed retrospectively. Results Of 6 patients in this group, 3 patients were admitted for cough, expectoration and fever for 3-6 days, 1 for cough, expectoration and disturbance of consciousness for 2 days, and 2 for cough with dyspnea for 3-5 days. They were misdiagnosed as pneumonia, and the misdiagnosis duration of this group was 5-14 ( 6. 24 +3. 56) d. However, the symptoms were not improved after symptomatic treatment. All patients were further diag-nosed as BT by fiberoptic bronchoscopy and microscopic biopsy of bronchial mucosa, including 4 cases that received left lower lobe bronchial resection combined with anti-tuberculosis treatment, and 2 cases were transferred to local hospitals for tuberculosis control and treatment. They were followed up for 1-3 months, and reported stable condition. Conclusion BT should be considered in those with persistent cough and expectoration. Early bronchoscopy is the key to avoid or reduce the misdiagnosis.
Keywords：TuberculosisBronchiMisdiagnosisPneumonia
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 7-9 )