Radiodiagnosis of Pneumonodular Fistula as a Rare Complication of Tuberculous Mediastinitis in a Teenager with Generalized Tuberculosis
https://doi.org/10.20862/0042-4676-2019-100-2-111-115
Abstract
The low incidence of nodular fistulas can create difficulties in diagnosis and timely treatment. This clinical observation describes the diagnosis of pneumonodular fistula in a female patient with tuberculosis at multiple sites as a complication of tuberculous mediastinitis. It describes the surgical treatment received by this patient and its outcome as an example of correct treatment policy for this complication.
About the Authors
D. B. GillerRussian Federation
Dmitriy B. Giller, Dr. Med. Sc., Professor, Chief of Chair of Phthisiopulmonology and Thoracic Surgery named after M.I. Perel’man
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
Ya. V. Lazareva
Russian Federation
Yanina V. Lazareva, Dr. Med. Sc., Doctor of Radiology Department
ul. Dostoevskogo, 4, korpus 2, Moskow, 127473
I. I. Martel’
Russian Federation
Ivan I. Martel’, Dr. Med. Sc., Professor of Chair of Phthisiopulmonology and Thoracic Surgery named after M.I. Perel’man
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
A. I. Shekhter
Russian Federation
Anatoliy I. Shekhter, Dr. Med. Sc., Professor of Chair of Radiology and Radiotherapy
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
O. N. Ots
Russian Federation
Oleg N. Ots, Dr. Med. Sc., Professor of Chair of Phthisiopulmonology and Thoracic Surgery named after M.I. Perel’man
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
O. P. Frolova
Russian Federation
Ol’ga P. Frolova, Dr. Med. Sc., Professor of Chair of Phthisiopulmonology and Thoracic Surgery named after M.I. Perel’man
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
G. V. Shcherbakova
Russian Federation
Galina V. Shcherbakova, Cand. Med. Sc., Associate Professor of Chair of Phthisiopulmonology and Thoracic Surgery named after
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
B. D. Giller
Russian Federation
Boris D. Giller, Clinical Resident
ul. Trubetskaya, 8, stroenie 2, Moscow, 119991
References
1. Bae K., Jeon K.N., Kim H.C., Suh Y.S., Lee G.D., Kim J.Y. et al. Tuberculosis presenting as isolated bronchonodal fistula in a patient with systemic lupus erythematosus. Medicine (Baltimore). 2017; 96 (45): e8764. DOI: 10.1097/MD.0000000000008764
2. Kuhtin O., Veith M., Alghanem M., Martel I., Giller D., Haas V., Lampl L. Thoracoplasty – current view on indication and technique. Thorac. Cardiovasc. Surg. DOI: 10.1055/s-0038-1642633
3. Giller D.B., Shayhayev A.Ya., Vasil’eva I.A., Zyuzya Yu.R., Enilenis I.I., Asanov B.M. et al. Partial lung resections efficacy in patients with multi drug resistant tuberculosis. Problemy Tuberkuleza i Bolezney Legkikh (Problems of Tuberculosis and Lung Diseases). 2008; 85 (5): 6–10 (in Russ.).
4. Drebov R., Brankov O., Panov M., Shivachev Kh., Iotov I., Surbianova N. Surgical aspects of primary tuberculosis in children: clinical presentation and indications for surgical treatment. Khirurgiia (Sofiia). 2006; 6: 12–5.
5. Hewitson J.P., Von Oppel U.O. Role of thoracic surgery for childhood tuberculosis. World J. Surg. 1997; 21 (5): 468–74.
6. Giller D.B., Giller B.M., Giller G.V., Dryga O.P., Kuz’mina N.M. Surgical treatment of patients with acute progressive pulmonary tuberculosis. Problemy Tuberkuleza i Bolezney Legkikh (Problems of Tuberculosis and Lung Diseases). 2004; 10: 23–30 (in Russ.).
7. Mitinskaya L.A. Tuberculosis in children. Moscow: Kudesniki; 2004 (in Russ.).
8. Giller D.B. (Ed.). Surgery of tuberculosis in children. Moscow: Al’di-print; 2016 (in Russ.).
9. Dornetzhuber V., Martis R., Burjanova B., Pavukova K., Turzova M., Vincurova M. Pulmonary mycobacteriosis caused by Mycobacterium xenopi. Report of a case. Eur. J. Respir. Dis. 1982; 63 (4): 293–7.
10. Kim K.H., Choi Y.W., Jeon S.C., Shin D.H., Jung J.I., Seo H.S. et al. Mucormycosis of the central airways: CT findings in three patients. J. Thorac. Imaging. 1999; 14 (3): 210–4.
11. Park S.H., Jeon K.N., Park M.J., Bae K., Cho S.B., Kim H.C. et al. Tuberculous bronchonodal fistula in adult patients: CT findings. Jpn J. Radiol. 2015; 33: 360–5.
Review
For citations:
Giller D.B., Lazareva Ya.V., Martel’ I.I., Shekhter A.I., Ots O.N., Frolova O.P., Shcherbakova G.V., Giller B.D. Radiodiagnosis of Pneumonodular Fistula as a Rare Complication of Tuberculous Mediastinitis in a Teenager with Generalized Tuberculosis. Journal of radiology and nuclear medicine. 2019;100(2):111-115. (In Russ.) https://doi.org/10.20862/0042-4676-2019-100-2-111-115