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J Thorac Cardiovasc Surg 2007;133:582-584
© 2007 The American Association for Thoracic Surgery

Brief Communication

Tuberculosis presenting as an endobronchial mass

^a Department of Surgery, Washington University in St Louis, St Louis, Mo
^b Department of Cardiothoracic Surgery, Weill Medical College of Cornell University, New York, NY
^c Department of Medicine, Weill Medical College of Cornell University, New York, NY
^d Department of Pathology, Weill Medical College of Cornell University, New York, NY
^e Department of Medicine, New York Hospital Queens, New York, NY.

Received for publication April 25, 2006; accepted for publication September 28, 2006.

^_* Address for reprints: Daniel Kreisel, MD, PhD, Department of Surgery, Washington University, Campus Box 8234, 600 S Euclid Ave, St Louis, MO 63110. (Email: kreiseld@wudosis.wustl.edu).

The first 20% of the full text of this article appears below.

Endobronchial tuberculosis has become a rare condition in developed countries. Furthermore, tuberculosis is often not considered in the differential diagnosis of endobronchial masses. Thus diagnosis is often delayed because of the rarity of this condition and the nonspecific nature of the symptoms. This case report describes endobronchial tuberculosis in a young previously healthy woman.

Clinical Summary

A 25-year-old woman with a past history of asthma presented with new onset of a dry cough. This was associated with symptoms of fatigue and anorexia. The patient had emigrated from the Philippines to the United States several years ago and had been employed as an office manager in a garment store for the last 18 months. A PPD tuberculin skin test result was negative when she started that employment. A few weeks after the onset of her cough, she had right-sided pleuritic chest pain and worsening shortness of breath. A chest radiograph showed an opacity in her right lower lung field. She was thought to have pneumonia and was started on oral antibiotics. Because her symptoms failed to improve, . . . [Full Text of this Article]

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