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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2007  |  Volume : 24  |  Issue : 1  |  Page : 17-19

Use of fibreoptic bronchoscopy in increasing diagnostic yield in smear negative tubercular pleural effusion


Department of Tuberculosis and Respiratory Diseases, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak (Haryana)., India

Correspondence Address:
K B Gupta
6J/18, Medical Enclave, Pt. B.D. Sharma PGIMS, Rohtak-124001 (Haryana).
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.44197

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Setting: Department of Tuberculosis and Respiratory diseases, Pt. B.D. Sharma PGIMS, Rohtak. Aim: Study was carried out to evaluate the diagnostic yield of fibreoptic bronchos­copy in patients of smear negative tubercular pleural effusion. Methodology: Flexible fibreoptic bronchoscopy under local anaesthesia was car­ried out and bronchoalveolar lavage was stained by Z-N staining for AFB and en­dobronchial biopsy was sent for histopathological examination and direct staining for AFB. Results: Endobronchial abnormalities were visualised in nearly 50% cases in right sided pleural effusion and 38% cases in left sided pleural effusion. Bronchoalveolar lavage was positive for AFB in 8% of cases. Endobronchial biopsy for histopathol­ogy and staining for AFB was positive in 12% of cases. Conclusion: Flexible fibreoptic bronchoscopy is very safe and novel technique in increasing bacteriological yield of patients with tubercular pleural effusion.


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