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Related Experiment Videos

Tuberculous pleural effusions.

D M Epstein, L R Kline, S M Albelda

    Chest
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Pleural tuberculosis now affects older adults, often presenting with atypical symptoms. Diagnosis requires careful examination of pleural fluid and biopsy, as sputum tests are less reliable.

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    Area of Science:

    • Medicine
    • Infectious Diseases
    • Pulmonology

    Background:

    • Recent reports highlight evolving patterns in parenchymal tuberculosis.
    • Changes in the clinical and radiographic spectrum of pleural tuberculosis remain under-documented.

    Purpose of the Study:

    • To review the clinical, laboratory, and radiographic features of pleural tuberculosis in adult patients.
    • To identify diagnostic challenges and effective diagnostic methods for pleural tuberculosis.

    Main Methods:

    • Retrospective review of 26 adult patients diagnosed with tuberculous pleural effusions.
    • Analysis of clinical presentation, laboratory findings, sputum examination, pleural fluid analysis, and pleural biopsy results.

    Main Results:

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  • Pleural tuberculosis is increasingly seen in older adults (median age 56).
  • Postprimary (reactivation) disease accounted for 19% of cases.
  • Pleural fluid and biopsy were valuable for diagnosis; sputum examination was less helpful.
  • Pleural effusions were exudative, with low glucose levels (<30 mg/dl) in some cases.
  • Pleural fluid lymphocytosis was not consistently observed; some cases showed polymorphonuclear predominance.

    • Conclusions:

    • Pleural tuberculosis presents a diagnostic challenge in older adults due to coexisting conditions.
    • Diagnostic approaches should include pleural fluid analysis and biopsy.
    • Pleural tuberculosis should be considered in adults and the elderly with exudative pleural effusions.