TY - JOUR
T1 - Reporte de un caso de quilotórax tuberculoso
AU - Rodríguez-Hidalgo, Luis Alejandro
AU - Concepción-Urteaga, Luis Alberto
AU - Cornejo-Portella, Jorge Luis
AU - Alquizar-Horna, Oscar Neri
AU - Aguilar-Villanueva, Daniel Anderson
AU - Concepción-Zavaleta, Marcio José
AU - Ruiz-Caballero, Diana Cecilia
N1 - Publisher Copyright:
© 2019, Medwave Estudios Ltda. All rights reserved.
PY - 2019/6
Y1 - 2019/6
N2 - Tuberculous chylothorax is a rare infectious disease that occurs when the thoracic duct is obstructed. Treatment is directed to the tuberculosis infection. A 55-year-old male, driver, born in Trujillo (Peru) is admitted to the emergency department with increas-ing dyspnea and a 5-day dry cough. The physical examination revealed vocal fremitus, dullness to percussion, and a vesicular murmur that was decreased on the lower 2/3 of the left hemithorax. The X-ray and the thoracic ultrasound revealed significant left pleural effusion. The thoracocentesis drained fluid identified as chylothorax. Subse-quently, 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 re-ceived 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.
AB - Tuberculous chylothorax is a rare infectious disease that occurs when the thoracic duct is obstructed. Treatment is directed to the tuberculosis infection. A 55-year-old male, driver, born in Trujillo (Peru) is admitted to the emergency department with increas-ing dyspnea and a 5-day dry cough. The physical examination revealed vocal fremitus, dullness to percussion, and a vesicular murmur that was decreased on the lower 2/3 of the left hemithorax. The X-ray and the thoracic ultrasound revealed significant left pleural effusion. The thoracocentesis drained fluid identified as chylothorax. Subse-quently, 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 re-ceived 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.
KW - chylothorax
KW - pleural effusion
KW - tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85070699920&partnerID=8YFLogxK
U2 - 10.5867/medwave.2019.05.7655
DO - 10.5867/medwave.2019.05.7655
M3 - Artículo
C2 - 31348771
AN - SCOPUS:85070699920
SN - 0717-6384
VL - 19
JO - Medwave
JF - Medwave
IS - 5
M1 - e7655
ER -