دورية أكاديمية
Cryoprobe for Endoscopic Enucleation in Children with Pulmonary Tuberculosis: Effective but Not Without Danger - Case Report and Review of Literature.
| العنوان: | Cryoprobe for Endoscopic Enucleation in Children with Pulmonary Tuberculosis: Effective but Not Without Danger - Case Report and Review of Literature. |
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| المؤلفون: | Goussard P; Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Eber E; Division of Paediatric Pulmonology and Allergology, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria., Venkatakrishna SSB; Department of Pediatric Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA., Janson J; Department of Surgical Sciences, Division of Cardiothoracic Surgery, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Schubert PT; Division of Anatomical Pathology, Tygerberg Hospital, National Health Laboratory Service, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Ebert L; Image Forensics, Zurich Forensic Science Institute, Zurich, Switzerland., Verster J; Division of Forensic Medicine, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and Forensic Pathology Service, Cape Town, South Africa., Basson M; Department of Industrial Engineering, Faculty of Engineering, Stellenbosch University, Cape Town, South Africa., Gie A; Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Andronikou S; Department of Pediatric Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. |
| المصدر: | Respiration; international review of thoracic diseases [Respiration] 2024; Vol. 103 (8), pp. 513-520. Date of Electronic Publication: 2024 Apr 29. |
| نوع المنشور: | Case Reports; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 0137356 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0356 (Electronic) Linking ISSN: 00257931 NLM ISO Abbreviation: Respiration Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, New York, Karger |
| مواضيع طبية MeSH: | Bronchoscopy*/methods , Tuberculosis, Pulmonary*/surgery , Tuberculosis, Pulmonary*/complications, Humans ; Male ; Child |
| مستخلص: | Introduction: Tuberculosis (TB) in children under 15 years often results in airway compression, with bronchus intermedius (BI) being the most common site. Endoscopic enucleations can be used to remove lymph nodes and establish an airway in severe cases. Both rigid and flexible bronchoscopy are suitable, with alligator forceps being preferred for its ability to extract tissue. Recent studies have also explored cryoprobe enucleation. Case Presentation: An HIV-positive boy with persistent symptoms after 9 months of TB treatment was diagnosed based on his mother's and sister's Xpert MTB/RIF positive status. He was started on 4-drug TB treatment, but the child remained clinically symptomatic with abnormal chest X-ray and unconfirmed TB. Bronchoscopy was performed, revealing complete obstruction of BI due to caseating granulomas causing collapse of the right middle and lower lobes. Cryotherapy was used to recanalize the airway, and follow-up bronchoscopy confirmed patent BI. Conclusion: While cryotherapy was effective in the restoration of airway patency in this case, there is a lack of knowledge about its use in children. (© 2024 S. Karger AG, Basel.) |
| فهرسة مساهمة: | Keywords: Airway obstruction; Bronchoscopy; Cryoprobe; Endoscopic enucleation; Pulmonary tuberculosis |
| تواريخ الأحداث: | Date Created: 20240429 Date Completed: 20240807 Latest Revision: 20240807 |
| رمز التحديث: | 20240808 |
| DOI: | 10.1159/000539076 |
| PMID: | 38684142 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1423-0356 |
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| DOI: | 10.1159/000539076 |