Benign Lung Conditions II- Benign Tuberculosis

Author: Amro Wafi, MD
Institution: University of Cincinnati
Date Reviewed: 2024
Original Case: Stephen C. Yang, MD
Learning Domain: General Thoracic
Learning Objective: Tuberculosis, Mycotic Infection, Atypical Mycobacteria
PowerPoint File: Benign Lung Conditions II- Benign Tuberculosis

 

Learning Goals

  • The basic level concepts focused on:
    • Knowledge of Tuberculosis and Atypical Mycobacteria
    • Knowledge of Mycotic Infection
  • The advanced level concepts focused on:
    • Patient Care of Tuberculosis and Atypical Mycobacteria
    • Patient Care of Mycotic Infection

 

Discussion Points

  • Differential diagnosis?
  • Next  diagnostic steps?
  • Medical treatment?
  • Indications for surgery?
  • How to deal with pancytopenia?
  • Surgical approaches?  Low risk vs high risk patient?

 

Learning Points

  • Opportunistic infection can be aggressive; medical therapy initially offered
  • Most multidrug resistant TB can be treated medically
  • Indications for surgery due to complications
  • Preoperative embolization can be useful
  • Surgery requires anatomic resection; avoid leaving potential pleural space (esp for TB)
  • Dissection difficult due to adhesions, vascularity, and inflammation, convert to open thoracotomy early
  • Cover bronchial stump with tissue