Discussion
The definitive diagnosis of pulmonary tuberculosis is bacteriological. However, clinicians should consider chest radiography in the management arsenal to assess the extent of associated lesions in order to optimise treatment [1].
Bronchial dilatation is a potentially serious and irreversible clinico-radiological entity. They have many causes, dominated by tuberculosis infections in highly endemic countries. However, they can be pre-existing to tuberculosis, as probably in our case. In any case, bronchial dilatation worsens the prognosis of the patient, who will be at risk of frequent, sometimes disabling exacerbations. Management is essentially based on stopping smoking, preventive and/or curative treatment of bacterial superinfections, and more rarely on surgical removal [2].