Related Experiment Video
Updated: May 29, 2025
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
184
Tuberculosis Associated Chylothorax: A Case Report
Niharika Malego1, Ranjan Sapkota1, Aakriti Sharma1
1Department of Cardio-Thoracic and Vascular Surgery Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University Kathmandu Nepal.
Respirology Case Reports
|February 5, 2025
Summary
Tuberculosis rarely causes chylothorax, an accumulation of chyle in the pleural cavity. Surgical thoracic duct ligation proved effective for a patient who did not respond to medical management during anti-tuberculous treatment.
Area of Science:
- Pulmonology
- Infectious Diseases
- Thoracic Surgery
Background:
- Chylothorax, characterized by chyle accumulation in the pleural space, has tuberculosis as a rare etiology.
- Diagnosis relies on pleural fluid triglyceride levels.
- Primary management is medical, with surgery reserved for refractory cases.
Purpose of the Study:
- To present a case of chylothorax secondary to tuberculosis.
- To highlight the diagnostic and management approach in a challenging clinical scenario.
- To emphasize the role of surgical intervention when medical management fails.
Main Methods:
- Case presentation of a 28-year-old male patient.
- Diagnosis confirmed by pleural fluid analysis.
- Treatment involved anti-tuberculous therapy followed by thoracic duct ligation after medical management failure.
Main Results:
- The patient developed chylothorax during anti-tuberculous treatment.
- Initial medical management was unsuccessful.
- Thoracic duct ligation resulted in a favorable outcome.
Conclusions:
- Tuberculosis-induced chylothorax is a rare but significant complication.
- Prompt diagnosis and appropriate management are crucial.
- Surgical intervention, such as thoracic duct ligation, is a viable option for refractory cases.
Related Concept Videos
01:28Pulmonary Tuberculosis II
211
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
211
01:29Pulmonary Tuberculosis I
220
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
220
01:31Pulmonary Tuberculosis III
299
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
299
01:28Pulmonary Tuberculosis V
170
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
170
01:26Pulmonary Tuberculosis IV
132
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
132
01:27Pneumothorax-II
118
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
118