{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:48:19Z","timestamp":1782442099799,"version":"3.54.5"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Post\u2010bronchoscopy infections are usually bacterial, whereas procedure\u2010associated endobronchial dissemination of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    <\/jats:styled-content>\n                    is rarely reported. A 52\u2010year\u2010old woman with poorly controlled diabetes (HbA1c 13.8%) had a 19\u2010mm left upper\u2010lobe nodule radiologically suspicious for lung cancer. Because tissue confirmation was required and tuberculosis remained in the differential diagnosis (positive T\u2010SPOT.TB on admission), endobronchial ultrasonography with a guide sheath (EBUS\u2010GS)\u2010guided transbronchial biopsy was performed under airborne precautions. Bronchial lavage smear and loop\u2010mediated isothermal amplification were positive for\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>M. tuberculosis<\/jats:italic>\n                    <\/jats:styled-content>\n                    , and histology showed extensive caseous necrosis with numerous acid\u2010fast bacilli, consistent with a tuberculoma. Two days later, she developed a 39\u00b0C fever with rapid cavitation of the primary lesion and new ipsilateral tree\u2010in\u2010bud opacities. No bacterial pathogens other than\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>M. tuberculosis<\/jats:italic>\n                    <\/jats:styled-content>\n                    were identified despite empirical ceftriaxone. Standard antituberculosis therapy led to clinical and radiological improvement.\n                  <\/jats:p>","DOI":"10.1002\/rcr2.70647","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:21:40Z","timestamp":1781850100000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Endobronchial Dissemination of a Tuberculoma Following\n                    <scp>EBUS<\/scp>\n                    \u2010\n                    <scp>GS<\/scp>\n                    \u2010Guided Transbronchial Biopsy: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Haruno","family":"Tsukagoshi","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4371-6344","authenticated-orcid":false,"given":"Yasuto","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Nakada","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"},{"name":"Division of Medical Oncology and Molecular Respirology, Faculty of Medicine Tottori University  Yonago Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Sumikawa","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mizuho","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Chikumi","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Tottori Prefectural Central Hospital  Tottori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology and Molecular Respirology, Faculty of Medicine Tottori University  Yonago Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-023-01331-z"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2005.05.004"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.02.025"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcr2.70059"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0954-6111(97)90066-4"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2018.07.006"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.TNMI7-0023-2016"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70647","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70647","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:41:40Z","timestamp":1782441700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/rcr2.70647"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70647","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2026-03-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70647"}}