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
https://doi.org/10.58838/2075-1230-2024-102-5-84-90
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.
About the Authors
S. V. Sklyuev
Novosibirsk Tuberculosis Research Institute, Russian Ministry of Health
Russian Federation
Russian Federation
Sergey V. Sklyuev, Candidate of Medical Sciences, Head of Endoscopy Department
81a Okhotskaya St., Novosibirsk, 630040, Phone: +7 (383) 286-41-84
E. M. Zhukova
Novosibirsk Tuberculosis Research Institute, Russian Ministry of Health
Russian Federation
Russian Federation
Elena M. Zhukova, Doctor of Medical Sciences, Leading Researcher
81a Okhotskaya St., Novosibirsk, 630040, Phone: +7 (383) 286-41-84
N. V. Stavitskaya
Novosibirsk Tuberculosis Research Institute, Russian Ministry of Health
Russian Federation
Russian Federation
Natalia V. Stavitskaya, Doctor of Medical Sciences, Director
81a Okhotskaya St., Novosibirsk, 630040, Phone: +7 (383) 286-41-84
References
1. Askalonova O.Yu., Tseymakh E.A., Levin A.V., Zimonin P.E. Postponed treatment outcomes in patients with limited fibrous cavernous pulmonary tuberculosis with use of valve bronchial block. Tuberculosis and Lung Diseases, 2021, vol. 99, no. 2, pp. 29-33. (In Russ.) http://doi.org/10.21292/2075-1230-2021-99-2-29-33
2. Askalonova O.Yu., Tseymakh E.A., Levin A.V., Zimonin P.E. Endobronchial valve in complex treatment of patients with drug resistant fibrous cavernous pulmonary tuberculosis. Tuberculosis and Lung Diseases, 2020, vol. 98, no. 1, pp. 35-40. (In Russ.) http://doi.org/10.21292/2075-1230-2020-98-1-35-40
3. Balasanyants G.S., Shalygin K.V. Analysis of cases died of tuberculosis in 2015 in St. Petersburg. Meditsinsky Alyans, 2016, no. 3, pp. 30-34. (In Russ.)
4. Grischenko N.G., Krasnov D.V., Alekseeva T.V., Avdienko K.A., Skvortsov D.A., Reykhrud M.V. Analysis of surgeries due to pulmonary tuberculosis in Siberian and Far Eastern Federal Districts. Tuberculosis and Lung Diseases, 2017, vol. 95, no. 8, pp. 41-48. (In Russ.) http://doi.org/10.21292/2075-1230-2017-95-8-41-48
5. Krasnov D.V., Grischenko N.G., Beschetniy T.G., Skvortsov D.A., Reykhrud M.V., Sklyuev S.V., Kozlova N.B., Kamenskaya Y.K. Immediate efficacy of osteoplastic thoracoplasty supplemented by valve bronchial block in the treatment of patients suffering from disseminated fibrous cavernous pulmonary tuberculosis. Tuberculosis and Lung Diseases, 2011, vol. 88, no. 4, pp. 218-219. (In Russ.)
6. Krasnov D.V., Skvortsov D.A., Krasnov V.A., Grischenko N.G., Sklyuev S.V., Lukyanova M.V. Surgical treatment of disseminated fibrous cavernous pulmonary tuberculosis with the use of osteoplastic thoracoplasty with minimum access. Tuberculosis and Lung Diseases, 2015, no. 6, pp. 82-83. (In Russ.)
7. Kudryashov G.G., Avetisyan A.O., Tabanakova I.A., Zaytseva E.V., Kiryukhina L.D., Yablonskiy P.K. A clinical case of the personalized approach to surgical treatment of drug-resistant bilateral fibrous cavernous pulmonary tuberculosis complicated by pyopneumothorax and pleural cavity empyema. Tuberculosis and Lung Diseases, 2022, vol. 100, no. 3, pp. 46-52. (In Russ.) http://doi.org/10.21292/2075-1230-2022-100-3-46-52
8. Levin A.V., Tseymakh E.A., Zimonin P.E., Krasnov D.V., Yaichnikov V.P. Osteoplastic thoracoplasty and endobronchial valve in the comprehensive treatment of patients with destructive pulmonary drug resistant tuberculosis. Tuberculosis and Lung Diseases, 2011, vol. 88, no. 7, pp. 41-44. (In Russ.)
9. Lovacheva O.V., Shumskaya I.Yu., Turovtseva Yu.V., Vasilyeva I.A., Bagdasaryan T.R., Ergeshov A.E. New opportunities of non-surgery treatment of fibrous cavernous pulmonary tuberculosis patients. Tuberculosis and Lung Diseases, 2013, vol. 90, no. 4, pp. 12-18. (In Russ.)
10. Loginovskaya V.V., Novichkova O.N., Manylova V.R. The structure of lethal cases died of tuberculosis during the first year after diagnosis. Fundamentalnye Issledovaniya, 2014, no. 4, p. 1, pp. 101-104. (In Russ.)
11. Osnovnye pokazateli protivotuberkuleznoy deyatelnosti v Sibirskom i Dalnevostochnom okrugakh (statisticheskiye materialy). [Main rates of anti-tuberculosis activities in Siberian and Far Eastern Districts (statistic materials)]. Novosibirsk, 2022, 106 p.
12. Popova L.A., Shergina E.A., Bagdasaryan T.R., Chernykh N.A., Sidorova N.F., Lovacheva O.V. Changes in ventilatory and gas exchange pulmonary functions when endobronchial valve block is effectively implanted to those with destructive pulmonary tuberculosis. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 11, pp. 35-44. (In Russ.)
13. Sklyuev S.V., Krasnov D.V. Use of endobronchial valve in the complex treatment of destructive infiltrative tuberculosis patients after treatment failure. Byulleten Vostochno-Sibirskogo Nauchnogo Tsentra SO RАMN, 2011, no. 2, pp. 101-103. (In Russ.)
14. Sokolov V.V., Sokolov D.V., Telegina L.V., Nikolaev A.L., Kiryukhin A.P., Kudryavtseva Yu.L. New technologies in cryosurgery endoscopic treatment of tumors of the respiratory tract. Research and Practical Medicine Journal, 2017, vol. 4, no. 2, pp. 29-36. (In Russ.) http://doi.org/10.17709/2409-2231-2017-4-2-4
15. Sokolov V.V., Sokolov D.V., Telegina L.V., Nikolaev A.L., Kiryukhin A.P., Kudryavtseva Yu.L., Kaprin A.D. New technologies in cryosurgery endoscopic treatment of tumors of the respiratory tract. Meditsinsky Soviet, 2017, no. 5, pp. 186-190. (In Russ.)
16. Federalnye klinicheskie rekomendatsii po ispolzovaniyu metoda klapannoy bronkhoblokatsii v lechenii tuberkuleza legkikh i ego oslozhneniy. [Federal clinical recommendations on using valve bronchial block in the treatment of pulmonary tuberculosis and its complications]. Rossiyskoe Obschestvo Ftiziatrov Publ., Moscow, New Terra Publ., 2015, pp. 25. Available: http://roftb.ru/netcat_files/doks2015/rec7.pdf Accessed: September 01, 2024
17. Yablonskiy P.K., Sokolovich E.G., Avetisyan A.O. et al. Role of thoracic surgery in the treatment of pulmonary tuberculosis (literature review and personal observations). Med. Alyans, 2014, no. 3, pp. 4-10. (In Russ.)
18. Ernst A., Silvestri G.A., Johnstone D., American College of Chest Physicians. Interventional pulmonary procedures: Guidelines from the American College of Chest Physicians. Chest, 2003, no. 123, pp. 1693.
19. Hetzel M., Babiak A.J., Hetzel J., Merk T, Wibmer T., Lepper P.M., Krüger S. Endobronchial tumor debulking with a flexible cryoprobe for immediate treatment of malignant stenosis. J. Thorac. Cardiovasc Surg., 2010, vol. 139, no. 4, pp. 997-1000. http://doi.org/10.1016/j.jtcvs.2009.06.023
20. Jung J.Y., Lee S.Y., Kim D.H. et al. Clinical benefits and complications of cryotherapy in advanced lung cancer with central airway obstruction. Tuberc. Respir. Dis., 2008, no. 64, pp. 272-277.
21. Schumann C., Hetzel M., Babiak A.J. et al. Endobronchial tumor debulking with a flexible cryoprobe for immediate treatment of malignant stenosis. J. Thorac. Cardiovasc. Surg., 2010, no. 139, pp. 997.
22. Seon-Heui Lee, Won-Jung Choi, Sook-Whan Sung, Young-Kyoon Kim, Chi-Hong Kim, Jae-Il Zo, and Kwang-Joo Park. Endoscopic Cryotherapy of Lung and Bronchial Tumors: A Systematic Review. Korean J. Intern. Med., 2011, vol. 26, no. 2, pp. 137-144. http://doi.org/10.3904/kjim.2011.26.2.137
Review
For citations:
Sklyuev S.V., Zhukova E.M., Stavitskaya N.V. 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. Tuberculosis and Lung Diseases. 2024;102(5):84-90. (In Russ.) https://doi.org/10.58838/2075-1230-2024-102-5-84-90
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