A Case of Successful Treatment of Drug Resistant Tuberculosis Using Cryorecanalization before Implantation of the Endobronchial Valve in a Patient with Multi-Stage Surgical Treatment

Abstract

The article describes a clinical case of a female patients with the continuous course of tuberculosis (more than 14 years). Despite the ongoing anti-tuberculosis therapy, the use of all possible surgical methods including valvular bronchial blocking, bacterial excretion persisted, fibrous cavernous tuberculosis with pre-XDR and severe cicatricial bronchial stenosis developed. Due to comprehensive personalized approach based on implantation of an endobronchial valve in a bronchus restenotic by cryorecanalization supported by adequate chemotherapy regimen V, the patient managed to achieve sputum conversion, cavity healing and cure of tuberculosis.

Keywords

• highly drug resistant tuberculosis
• cavities
• endobronchial valve
• cryorecanalization
• cicatricial bronchial stenosis