USE OF ENDOBRONCHIAL VALVES AND EXTRAPLEURAL SEALING FOR TREATMENT OF BILATERAL MASSIVE CAVITIES IN A FEMALE PATIENT WITH MULTIPLE DRUG RESISTANT PULMONARY TUBERCULOSIS

Abstract

The clinical case demonstrates the cure of pulmonary tuberculosis with multiple drug resistance and massive bilateral cavities in a female patient of 31 years old with a severe disorder of pulmonary ventilation of the mixed type, hypoxemic respiratory failure, post-tuberculosis bullous changes in both lungs. Treatment lasted for 4 years. Treatment included anti-tuberculosis chemotherapy, artificial pneumoperitoneum, three endobronchial valves in the bronchi for draining of massive cavities and extrapleural sealing with silicon plug.

Keywords

• treatment of pulmonary tuberculosis
• multiple drug resistant tuberculosis
• giant cavities
• post-tuberculosis bullous changes
• endobronchial valve
• valve bronchial block
• extrapleural sealing
• silicon plug