Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis

BİRCAN, Sema; BİRCAN, H. Ahmet; ÖZYURT, SONGÜL; AKKAYA, Ahmet; Ozturk, Onder; ŞAHİN, Ünal

Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis

H. Ahmet BİRCAN, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta, Türkiye)

Sema BİRCAN, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Patoloji Anabilim Dalı, Isparta, Türkiye)

Önder ÖZTÜRK, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta, Türkiye)

Songül ÖZYURT, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta, Türkiye)

Ünal ŞAHİN, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta, Türkiye)

Ahmet AKKAYA (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta, Türkiye)

Tüberküloz ve Toraks

15 0

Yıl: 2007 Cilt: 55 Sayı: 4 Sayfa Aralığı: 409 - 413 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis

Öz:

Bronşiyal mukozada antrakotik pigment görülmesi pnömokonyoz veya yoğun atmosferik kirliliğin bir bulgusu olarak düşünülmektedir. Kalsifik veya kalsifik olmayan lenf nodlarının çevrelediği bronşta antrakotik pigmentasyon ile birlikte bronşiyal daralma veya tıkanıklığın görülmesi antrakofibrozis olarak adlandırılmaktadır. Tüberküloz ve antrakofibrozis arasında da kuvvetli birliktelik saptanmıştır. Süperior mediastende tüberküloz lenfadenitli bir olgunun ses kısıklığı ile başvurması nadir bir durumdur. Bu makalede antrakozis ve mediastinal tüberküloz lenfadenit birlikteliğinin ses kısıklığına neden olduğu bir olgu sunulmuştur. Ses kısıklığı, öksürük, halsizlik, iştahsızlık ve gece terlemesi yakınmaları bulunan 66 yaşındaki kadın hasta mediastinal lenfadenopati etyolojisini araştırmak için kliniğimize yatırıldı. Uygulanan fiberoptik bronkoskopide sol vokal kord paralizisinin yanı sıra bronşiyal mukozada inflamasyon bulguları ve yaygın antrakotik pigmentasyon görüldü. Bronş lavajı ve mukoza biyopsisinde tüberküloz veya malignite bulgularına rastlanmadı. Ancak daha sonra uygulanan torakotomi sonucunda hastada parankimal antrakozis ve çıkarılan lenf nodunda antrakozis ile birlikte kazeifikasyon gösteren granülomatöz inflamasyon tespit edildi. Parankimal antrakozis ve mediastinal tüberküloz lenfadenit tanısı ile hasta standart antitüberküloz tedavi altına alındı. Ancak tedavisinin ikinci ayında gastrik adenokarsinom operasyonunun abdominal komplikasyonu sonucunda hasta kaybedildi.

Anahtar Kelime: Yaşlı Mediastinal hastalıklar Tomografi, x-ışınlı bilgisayarlı Ses kısıklığı Tüberküloz, lenf düğümü Kadın Vokal kord paralizi Öksürük Tanı, ayırıcı

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Vokal kord paralizisi sebebi olarak mediastinal tüberküloz lenfadenit ve antrakozis birlikteliği

Öz:

Anthracotic pigmentation in the bronchial mucosa has been regarded as a bronchoscopic finding of pneumoconiosis or evidence of heavy atmospheric soot. Anthracotic pigmentation with bronchial narrowing or obliteration, surrounded by calcified or noncalcified lymph nodes is typical finding of anthracofibrosis. There is a potential relationship between bronchial anthracofibrosis and tuberculosis. Tuberculous lymphadenopathy of superior mediastinum presentation with hoarseness is very rare. The paper reports a case of tuberculous mediastinal lymphadenitis with anthracosis causing vocal cord paralysis. A 66-year-old woman was admitted to our clinic with the symptoms of dry cough, hoarseness, malaise, anorexia, night sweats and with the multiple mediastinal lymphadenopathy. Fiberoptic bronchoscopy revealed left vocal cord paralysis, bronchial mucosal inflammation and multiple anthracotic plaques. Bronchial lavage and mucosal biopsy were negative for malignancy and tuberculosis. The thoracotomy was performed and a mediastinal lymph node showing caseating granulomatous inflammation with anthracosis and parenchymal anthracosis were detected. The diagnosis of anthracosis and mediastinal tuberculous lymphadenitis was made and the patients put on antituberculous treatment. But she was unfortunately died in the second month of the treatment because of the abdominal complication of gastric adenocarcinoma operation.

Anahtar Kelime: Hoarseness Tuberculosis, Lymph Node Female Vocal Cord Paralysis Cough Diagnosis, Differential Aged Mediastinal Diseases Tomography, X-Ray Computed

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Bibliyografik

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APA	BİRCAN H, BİRCAN S, Ozturk O, ÖZYURT S, ŞAHİN Ü, AKKAYA A (2007). Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. , 409 - 413.
Chicago	BİRCAN H. Ahmet,BİRCAN Sema,Ozturk Onder,ÖZYURT SONGÜL,ŞAHİN Ünal,AKKAYA Ahmet Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. (2007): 409 - 413.
MLA	BİRCAN H. Ahmet,BİRCAN Sema,Ozturk Onder,ÖZYURT SONGÜL,ŞAHİN Ünal,AKKAYA Ahmet Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. , 2007, ss.409 - 413.
AMA	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. . 2007; 409 - 413.
Vancouver	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. . 2007; 409 - 413.
IEEE	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A "Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis." , ss.409 - 413, 2007.
ISNAD	BİRCAN, H. Ahmet vd. "Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis". (2007), 409-413.

APA	BİRCAN H, BİRCAN S, Ozturk O, ÖZYURT S, ŞAHİN Ü, AKKAYA A (2007). Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. Tüberküloz ve Toraks, 55(4), 409 - 413.
Chicago	BİRCAN H. Ahmet,BİRCAN Sema,Ozturk Onder,ÖZYURT SONGÜL,ŞAHİN Ünal,AKKAYA Ahmet Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. Tüberküloz ve Toraks 55, no.4 (2007): 409 - 413.
MLA	BİRCAN H. Ahmet,BİRCAN Sema,Ozturk Onder,ÖZYURT SONGÜL,ŞAHİN Ünal,AKKAYA Ahmet Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. Tüberküloz ve Toraks, vol.55, no.4, 2007, ss.409 - 413.
AMA	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. Tüberküloz ve Toraks. 2007; 55(4): 409 - 413.
Vancouver	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis. Tüberküloz ve Toraks. 2007; 55(4): 409 - 413.
IEEE	BİRCAN H,BİRCAN S,Ozturk O,ÖZYURT S,ŞAHİN Ü,AKKAYA A "Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis." Tüberküloz ve Toraks, 55, ss.409 - 413, 2007.
ISNAD	BİRCAN, H. Ahmet vd. "Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis". Tüberküloz ve Toraks 55/4 (2007), 409-413.