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Simultaneous chylothorax and chylous ascites due to tuberculosis
Kyeong Jin Kim1, Dae Won Park1, Won Suk Choi1
1Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Infection & Chemotherapy
|April 3, 2014
Summary
Tuberculosis can cause rare chylothorax and chylous ascites. This case highlights successful treatment of simultaneous pleural effusion and ascites in a teen with tuberculosis using anti-tuberculosis medication.
Area of Science:
- Medicine
- Infectious Diseases
- Pulmonology
Background:
- Chylothorax and chylous ascites are uncommon presentations of tuberculosis (TB).
- Simultaneous occurrence of both conditions due to TB is exceptionally rare.
Purpose of the Study:
- To report a rare case of simultaneous chylothorax and chylous ascites caused by tuberculosis.
- To illustrate the diagnostic findings and treatment outcome in such a case.
Main Methods:
- A 17-year-old female patient presented with fever, abdominal distension, and dyspnea.
- Diagnostic workup included chest and abdominal computed tomography (CT) and microbiological analysis of sputum and pleural fluid.
- Treatment involved standard anti-tuberculosis medication.
Main Results:
- CT revealed bilateral pleural effusion, lung consolidation, ascites, and abdominal lymphadenopathy.
- Mycobacterium tuberculosis was identified in sputum and pleural fluid.
- The patient showed significant improvement in pleural effusion and ascites following anti-tuberculosis treatment.
Conclusions:
- Tuberculosis should be considered in the differential diagnosis of simultaneous chylothorax and chylous ascites.
- Prompt diagnosis and treatment with anti-tuberculosis medication are effective in managing these rare manifestations of TB.
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