B Niggemann1, U Klettke, K Magdorf, U Wahn. 1. University Children's Hospital (KAVH), Div. of Paediatric Pneumology and Immunology, Berlin, Germany.
Abstract
UNLABELLED: Two infants with recurrent obstructive symptoms attracted attention because of massive radiologically detected unilateral pulmonary hyperinflation. Further diagnostic procedures including bronchoscopy, revealed a pulmonary tuberculosis with lymph nodes encroaching on the bronchi. Steady improvement of clinical symptoms and hyperinflation was noted under combined antituberculotic therapy including systemic steroids. CONCLUSION: Our two cases demonstrate that the differential diagnosis of unilateral pulmonary hyperinflation and wheezing in infancy should consider valvular stenosis by encroaching lymph node due to pulmonary tuberculosis.
UNLABELLED: Two infants with recurrent obstructive symptoms attracted attention because of massive radiologically detected unilateral pulmonary hyperinflation. Further diagnostic procedures including bronchoscopy, revealed a pulmonary tuberculosis with lymph nodes encroaching on the bronchi. Steady improvement of clinical symptoms and hyperinflation was noted under combined antituberculotic therapy including systemic steroids. CONCLUSION: Our two cases demonstrate that the differential diagnosis of unilateral pulmonary hyperinflation and wheezing in infancy should consider valvular stenosis by encroaching lymph node due to pulmonary tuberculosis.
Authors: M G Worthington; J G Brink; J A Odell; J Buckels; M K de Groot; M Klein; A J Gunning Journal: Ann Thorac Surg Date: 1993-11 Impact factor: 4.330