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Open Access Editorial

Endobronchial Tubercolosis: a peculiar feature of TB often underdiagnosed

Lucio Casali1* and Mariano E Crapa2

Author Affiliations

1 Respiratory Diseases, University of Perugia, Perugia, Italy

2 Research Fellow, University of Perugia, Perugia, Italy

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Multidisciplinary Respiratory Medicine 2012, 7:35  doi:10.1186/2049-6958-7-35

Published: 22 October 2012

First paragraph (this article has no abstract)

Endobronchial Tuberculosis (EBTB) is a particular form of TB non easily recognizable, often dangerous for its consequences and potentially a source of spread of infection in the community. Also its definition doesn't find a unanimity. In fact it has been defined as “tuberculous infection of the tracheo bronchial tree with microbial and histopathological evidence” [1] or a” complication of progressive primary Tuberculosis” [2] or, more simply, a “special form of pulmonary Tuberculosis” [3]. It should be stressed that the presence of signs and symptoms qualifies it as a particular expression of a tubercular disease rather than a tubercular infection. Another point of discussion might regard the clinical role of EBTB considering that in the strict sense of a correct classification of TB it might be allocated among the extrapulmonary forms, therefore subjected to diagnostic problems arising from the variability of their clinical manifestations, even though the close continuity with the remaining part of the respiratory system can better draw the attention of the clinicians in comparison with other extrapulmonary localizations. Despite this more favourable position a delay in the diagnosis may be observed with important and seldom severe consequences.