TY - JOUR TT - A Tuberculosis Case Imitating Interstitial Lung Disease AU - Karadağ, Fisun AU - Çildağ, Orhan AU - Polatlı, Mehmet AU - Veral, Ali AU - Karadağ, Teoman PY - 2001 DA - December JF - Meandros Medical And Dental Journal JO - Meandros Med. Den. j. PB - Aydin Adnan Menderes University WT - DergiPark SN - 2149-9063 SP - 35 EP - 38 VL - 2 IS - 3 KW - Tüberküloz KW - interstisyel akciğer hastalığı KW - açık akciğer biyopsisi N2 - Twenty-two year old, female patient. Her complaints were dyspnea with exercise and a dry cough of 20 days. A few crepitations were heard during oscultation. Routine laboratory examinations were normal. Restrictive pattern was observed in pulmonary function tests. Tuberculin test was positive (18 mm). She could not give sputum sample for acid-fast bacillus (ARB) examination. Bilateral diffuse peripheral reticular infiltrates dominating in right lung were observed in chest x-ray and right hemidiyaphragma was high with irregular contours. There were peripheral reticular densities in right upper lobe apical, posterior, middle lobe, lower lobe apical; left upper lobe apicoposterior, lower lobe apical segments in high resolution computed tomography. There were focal peribronchial thickenings and ground glass density in right middle lobe. ARB was negative in bronchoalveolar lavage (BAL) and bronchial aspiration fluid. BAL fluid revealed 56% alveolarmacrophages, 30% lymphocytes, 12% PNL, 2% eosinophils. Non-diagnostic findings were observed in transbronchial lung biopsy. Since these tests were non-diagnostic, open lung biopsy was performed. Microscopic histopathological examination revealed scattered granuloma with caseification necrosis compatible with pulmonary tuberculosis. A few tuberculosis bacilli were detected in granuloma by Ziehl-Neelsen staining. The case was presented for atypical radiological findings imitating interstitial lung disease. CR - 1. Sudre P, ten Dam G, Kochi A. Tuberculosis: A global overview of the situation today. Bull WHO 1992; 70: 149-59. CR - 2. Cheremisin VM, Sigina OA, Tiurin IE. Computed tomography in the diagnosis of infiltrative pulmonary tuberculosis. Vestn Roentgenol Radiol 1993; 1: 19-24. CR - 3. Tiurin IE, Ivanishchak BE, II'ina NA, Matsenko NE. Value of computed tomography in the differential diagnosis of infiltrative changes in the lungs. Vestn Roentgenol Radiol 1997; 2: 4-10. CR - 4. Aribandi M, Gulati M, Behera D, et al. Computed tomography features of lung parenchymal changes in pulmonary tuberculosis. Australas Radiol 1997; 41 (4): 367-70. CR - 5. Kocabaþ A. Günümüzde tüberküloz sorunu. Kocabaþ A (ed). Tüberküloz Kliniði ve Kontrolü'nde. Ankara: Emel Matbaasý, 1991: 3-32. CR - 6. Bayýndýr Ü. Akciðer tüberkülozunun radyolojisi. Kocabaþ A (ed). Tüberküloz Kliniði ve Kontrolü'nde. Ankara: Emel Matbaasý, 1991: 219-26. CR - 7. Rossman MD, Öner-Eyüboðlu AF. Clinical presentation and treatment of tuberculosis. In: Fishman AP (ed). Pulmonary Diseases and Disorders. New York: McGraw Hill, 1997: 2483-501. CR - 8. Miller WT, MacGregor RR. Tuberculosis: Frequency of unusual radiographic findings. Am J Roentgenol 1978; 130 (5): 867-75. CR - 9. Krsyl J, Korzeniewska-Kosela M, Muller NL, FitzGerald JM. Radiologic features of pulmonary tuberculosis: an assesment of 188 cases. Can Assoc Radiol J 1994: 45 (2): 101-7. CR - 10. Niang EH, Badiane M, Ndiaye M, et al. Pulmonary tuberculosis in adults: radiological aspect before starting treatment. Dakar Med 1996; 41 (2): 115-8. CR - 11. Im JG, Itoh H, Han MC. CT of pulmonary tuberculosis. Semin Ultrasound CTMR 1995; 16 (5); 420-34. CR - 12. Hatipoðlu ON, Osma E, Manisali M ve ark. High resolution computed tomographic findings in pulmonary tuberculosis. Thorax 1996; 51 (4): 397-402. CR - 13. Poey C, Verhaegen F, Giron J, et al. High resolution chest CT in tuberculosis: evolutive patterns and signs of activity. J Comput Assist Tomogr 1997; 21 (4): 601- 7. UR - https://dergipark.org.tr/en/pub/meandrosmdj/issue//540099 L1 - https://dergipark.org.tr/en/download/article-file/671128 ER -