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Tuberculous chylothorax is a rare infectious disease that occurs when the thoracic duct is obstructed. Treatment is directed to the tuberculosis infection. A year-old male, driver, born in Trujillo Peru is admitted to the emergency department with increasing dyspnea and a 5-day dry cough. The X-ray and the thoracic ultrasound revealed significant left pleural effusion. The thoracocentesis drained fluid identified as chylothorax. Subsequently, a thoracic tube was placed, with a decrease in pleural fluid volume and later normalization of the cytochemical changes.
Diagnostic video bronchoscopy was performed with a bronchoalveolar aspirate, revealing acid-fast bacilli. The patient received antituberculosis treatment with a favorable outcome. Tuberculous chylothorax is an important cause of chylothorax to be considered in endemic areas of tuberculosis. Proper treatment of the infection leads to resolution of the disease.
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Cite Favorites. Abstract in English , Spanish. Similar articles Recent-onset tuberculous pleurisy presenting as pseudochylothorax. Nogueras C, et al. Am J Med. PMID: No abstract available. Saumoy M, et al. An Med Interna. PMID: Review. Parras F, et al. Enferm Infecc Microbiol Clin. PMID: Spanish. No abstract available. Delayed right chylothorax after left blunt chest trauma: a case report.
Lee J, et al. J Med Case Rep. Tuberculous pleural effusion. Sarker ZM, et al. Mymensingh Med J. Show more similar articles See all similar articles. Publication types Case Reports Actions.
Bronchoscopy Actions. Humans Actions. Male Actions. Middle Aged Actions. Peru Actions. Substances Antitubercular Agents Actions. Copy Download.
A Case Report of Tuberculous Chylothorax
The Spanish Association of Pediatrics has as one of its main objectives the dissemination of rigorous and updated scientific information on the different areas of pediatrics. Annals of Pediatrics is the Body of Scientific Expression of the Association and is the vehicle through which members communicate. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same.
Chylothorax is the occurrence of lymph in the pleura due to damage or obstruction of the thoracic duct. High content of triglycerides and the presence of chylomicrons make the diagnosis of chylothorax. Its aetiology can be divided in traumatic and non-traumatic. Traumatic rupture occurs after accidents or surgery. Within non -traumatic aetiology, lymphoma is the most common and in the presence of a chylothorax of unknown origin this should be the first suspicion, being non -Hodgkin type the most frequent.