Intrathoracic non-tuberculous mycobacteriosis with endobronchial lesion in a child aged 11 with HIV infection diagnosed by bronchoscopic biopsy, EBUS-TBNA and confocal laser endomicroscopy
Igor Vasilev,
Igor Mamenko,
Roman Simonov,
Tatiana Novitskaya,
Viacheslav Zhuravlev,
Petr Yablonskiy
Affiliations
Igor Vasilev
Saint Petersburg State Research Institute of Phthisiopulmonology
Igor Mamenko
Saint Petersburg State Research Institute of Phthisiopulmonology
Roman Simonov
Saint Petersburg State Research Institute of Phthisiopulmonology
Tatiana Novitskaya
Saint Petersburg State Research Institute of Phthisiopulmonology
Viacheslav Zhuravlev
Saint Petersburg State Research Institute of Phthisiopulmonology
Petr Yablonskiy
Saint Petersburg State Research Institute of Phthisiopulmonology
The diagnosis of intrathoracic non-tuberculous mycobacteriosis (NTM) is challenging. We report a case of a pediatric pulmonary NTM with endobronchial lesion and lymphadenitis in a child with HIV infection diagnosed by bronchoscopic biopsy, EBUS-TBNA and probe-based confocal laser endomicroscopy (pCLE). The pCLE showed a large number of highly fluorescent cells and zones of density and disorganized elastin fibers at alveolar areas. A combination of diagnostic endoscopic procedures is required to establish the diagnosis of NTM.
