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].