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Kim, Kim, Ma, Lee, Ham, Cho, Jeong, Jeon, Kim, Lee, and Hwang: Clinical Characteristics of Endobronchial Tuberculosis that Develops in Patients over 70 Years of Age
Original Article
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2007; 63(5): 412-416.

Published online: 30 November 2007

DOI: https://doi.org/10.4046/trd.2007.63.5.412

Clinical Characteristics of Endobronchial Tuberculosis that Develops in Patients over 70 Years of Age

Hwi Jong Kim, M.D.1, Hyeon Sik Kim, M.D.2, Jeong Eun Ma, M.D.2, Seung Jun Lee, M.D.2, Hyoun Seok Ham, M.D.2, Yu Ji Cho, M.D.2, Yi Yeong Jeong, M.D.2, Kyoung-Nyeo Jeon, M.D.3, Ho Cheol Kim, M.D.2, Jong Deok Lee, M.D.2, Young Sil Hwang, M.D.2

1Department of Internal Medicine, Ulsan Hospital, Ulsan, Korea.

2Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea.

3Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University, Jinju, Korea.

Address for correspondence: Ho Cheol Kim, M.D. Department of Internal Medicine, College of Medicine, Gyeongsang National University, 92, Chilam-dong, Jinju 660-741, Korea. Phone: 82-55-740-8068, Fax: 82-55-740-8618, hochkim@gshp.gsnu.ac.kr

Received 12 October 2007       Accepted 29 October 2007

Copyright © 2007 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Background

The possibility of developing pulmonary tuberculosis usually increases with increasing age. Therefore, the incidence of endobronchial tuberculosis in older people may increase. We evaluated the clinical characteristics in patients with endobronchial tuberculosis above the age of 70 years.

Methods

We enrolled 74 patients (12 males and 62 females; mean age 64.6±16.2 years) that were diagnosed with endobronchial tuberculosis from March 2003 to July 2006 at Gyeongsang University Hospital. We retrospectively evaluated the clinical characteristics of endobronchial tuberculosis for patients 70 years or older (older group) and for patients below the age of 70 years (younger group).

Results

The number of patients in the older group was 41 (55%). Cough was the most common symptom in the two groups of patients and dyspnea on exertion was more common in the older group of patients than in the younger group of patients (31.7% vs. 12.1%). The actively caesating type of disease was more common in the younger group of patients than in the older group of patients (66.7% vs. 39%). The edematous type of disease was more common in the older group of patients than in the younger group of patients (53.7% vs. 27.2%) (p<0.05). Tracheal and main bronchial involvement of lesions were more common for the younger group of patients than for the older group of patients (30.3% vs. 9.7%) (p<0.05).

Conclusion

Endobronchial tuberculosis was commonly observed in patients older than 70 years and this group of patients had some clinical characteristics that were different from the younger group of patients.

Keywords: Endobronchial tuberculosis, Older people, Clinical characteristics

Figures and Tables

Table 1
Age distribution
trd-63-412-i001
Table 2
The clinical manifestation
trd-63-412-i002

*p<0.05 compared with age<70.

Table 3
The radiologic finding
trd-63-412-i003
Table 4
The classification of endobronchial tuberculosis according to Jung's criteria
trd-63-412-i004

*p<0.05 compared with age<70.

Table 5
The location of involved lesion
trd-63-412-i005

*p<0.05 compared with age<70.

Table 6
The positive yield of diagnostic tests
trd-63-412-i006
Table 7
The parechymal involvement of endobronchial tuberculosis
trd-63-412-i007

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