Recognising tuberculosis in the lower lung field: An age- and sex-matched controlled study

J. Y. Wang, P. R. Hsueh, C. H. Lee, H. C. Chang, Li Na Lee, Y. S. Liaw, P. C. Yang

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16 Citations (Scopus)

Abstract

OBJECTIVE: Tuberculosis (TB) can sometimes present with consolidation in the lower lung field. This study was conducted to compare the manifestations of lower-lung-field TB (LLFTB) and other pulmonary TB. DESIGN: All new culture-proven TB patients with lower-lung-field consolidation from July 2001 through December 2002 were included. Age- and sex-matched TB patients with upper lung involvement were selected as controls. RESULTS: A total of 79 patients with LLFTB were included. Their mean age was 58.8 years; 46 were male. The clinical, radiographic and laboratory findings were similar in the LLFTB and the control groups, except that the LLFTB patients had less cavitation (P = 0.005). Patients with LLFTB were diagnosed (P = 0.051) and treated (P = 0.001) later than the control patients. The calibres of the trachea and both main bronchi were significantly smaller in the LLFTB group (P <0.001). More patients with LLFTB developed segmental or lobar atelectasis during follow-up (P = 0.028). CONCLUSIONS: The manifestations of LLFTB are non-specific. The lower-lung involvement, the lower incidence of cavitation and the higher probability of segmental or lobar atelectasis implied that LLFTB was primary TB. A small bronchial calibre probably contributed to its development.

Original languageEnglish
Pages (from-to)578-584
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume10
Issue number5
Publication statusPublished - May 2006
Externally publishedYes

Keywords

  • Bronchial diameter
  • Cavitation
  • Lower-lung-field tuberculosis
  • Primary tuberculosis
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Wang, J. Y., Hsueh, P. R., Lee, C. H., Chang, H. C., Lee, L. N., Liaw, Y. S., & Yang, P. C. (2006). Recognising tuberculosis in the lower lung field: An age- and sex-matched controlled study. International Journal of Tuberculosis and Lung Disease, 10(5), 578-584.