• Chest · Oct 2016

    Case Reports

    Pulmonary Artery Invasion Caused by Mycobacterium tuberculosis.

    • James Benjamin Gleason, Basheer Tashtoush, Jinesh Mehta, Edward Savage, Felipe Martinez, and Atul C Mehta.
    • Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, FL. Electronic address: gleasoj@ccf.org.
    • Chest. 2016 Oct 1; 150 (4): e99-e103.

    AbstractExtrapulmonary tuberculosis refers to Mycobacterium tuberculosis involving organs other than the lungs (eg, pleura, lymph nodes, genitourinary tract, abdomen, skin, joints and bones, or meninges). In non-HIV-endemic areas, where reactivation is the predominant mechanism of tuberculosis, pleural involvement occurs in 4% of cases. We present an extremely rare case of a 62-year-old immunocompetent patient with pleural tuberculosis confirmed by surgical pleural biopsies, who presented with a large mediastinal mass and evidence of pulmonary artery invasion on CT scanning and endobronchial ultrasonography imaging, highlighting a unique and malignant-like character of the disease.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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