G Zhu1, S Ji. 1. Department of Respiratory Medicine, General Hospital of Air Force, PLA, Beijing 100036.
Abstract
OBJECTIVE: To heighten the awareness of lobar pneumonic tuberculosis(or tuberculous pneumonia or acute pneumonic tuberculosis). METHOD: 10 cases with lobar pneumonic tuberculosis were reviewed. RESULT: All the patients showed acute onsets and 9 of them had a continuous high fever, and their WBC was not found higher than 10 x 10(9)/L. All of the patients' chest radiographs showed a consolidation in one or two lobars, and in 30% of the patients pleural effusions were found. Significant roent genographic changes could occur in short duration. All the patients were not sensitive to common antibiotics, and the shadow could enlarge in short time. Exudative foci could be absorbed shortly after antituberculosis chemotherapy, and no cavitation was found. CONCLUSION: An early transbroncho-lung biopsy (TBLB) and (or) brushing smear may be advantageous to early diagnosis and treatment of this illness.
OBJECTIVE: To heighten the awareness of lobar pneumonic tuberculosis(or tuberculous pneumonia or acute pneumonic tuberculosis). METHOD: 10 cases with lobar pneumonic tuberculosis were reviewed. RESULT: All the patients showed acute onsets and 9 of them had a continuous high fever, and their WBC was not found higher than 10 x 10(9)/L. All of the patients' chest radiographs showed a consolidation in one or two lobars, and in 30% of the patientspleural effusions were found. Significant roent genographic changes could occur in short duration. All the patients were not sensitive to common antibiotics, and the shadow could enlarge in short time. Exudative foci could be absorbed shortly after antituberculosis chemotherapy, and no cavitation was found. CONCLUSION: An early transbroncho-lung biopsy (TBLB) and (or) brushing smear may be advantageous to early diagnosis and treatment of this illness.