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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.
Abstract:
Chylothorax is the accumulation of chyle in the pleural cavity. Tuberculosis is one of its rarest causes. Diagnosis of chylothorax can be made by evaluation of triglycerides concentration in pleural fluid. It is primarily managed medically but surgery is indicated when the patients fail to improve after a trial of medical management. Here, we present a case of a 28-year man who developed chylothorax while undergoing anti-tuberculous treatment (ATT). After failing initial medical management, he underwent thoracic duct ligation with good result.
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