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A case report of tuberculous chylothorax
Luis Alejandro Rodríguez-Hidalgo1, Luis Alberto Concepción-Urteaga2, Jorge Luis Cornejo-Portella2
1Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú; Centro de Excelencia para el Manejo de Tuberculosis Luz Caviedes Rojas, Hospital Regional Docente de Trujillo, Trujillo, Perú. Address: Manzana A Lote 1-M, Urbanización Los Portales del Golf, Víctor Larco, Trujillo, Perú. Email; alejandrorh@outlook.com.
Tuberculous chylothorax, a rare condition from thoracic duct obstruction, was successfully treated by addressing the underlying tuberculosis infection. This case highlights the importance of considering tuberculosis in endemic areas for diagnosing and managing chylothorax.
Area of Science:
- Infectious Diseases
- Pulmonology
- Thoracic Surgery
Background:
- Tuberculous chylothorax is a rare but serious condition caused by obstruction of the thoracic duct, often linked to tuberculosis.
- Diagnosis and management can be challenging, particularly in tuberculosis-endemic regions.
Observation:
- A 55-year-old male presented with dyspnea and cough, exhibiting signs of left-sided pleural effusion on physical examination and imaging.
- Thoracentesis confirmed chylothorax; diagnostic bronchoscopy revealed acid-fast bacilli, confirming tuberculosis.
Findings:
- The patient's chylothorax resolved following the placement of a thoracic tube and initiation of antituberculosis treatment.
- Cytochemical analysis of pleural fluid normalized after treatment, indicating successful management.
Implications:
- This case highlights the importance of considering tuberculous chylothorax in patients from TB-endemic areas presenting with chylothorax.
- Effective treatment of the underlying tuberculosis infection is crucial for resolving tuberculous chylothorax and achieving favorable patient outcomes.
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