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Chylothorax due to Mycobacterium tuberculosis

P A Antón1, J Rubio, P Casán

  • 1Respiratory Department, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Spain.

Thorax
|September 1, 1995
PubMed
Summary

Tuberculosis can cause chylothorax, a rare pleural effusion, even without lung disease. Mycobacterium tuberculosis was found in pleural fluid as the sole sign of infection in this adult case.

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Thoracic Medicine

Background:

  • Chylothorax, a rare pleural effusion, typically results from trauma or malignancy.
  • Tuberculosis (TB) can cause chylous effusions, but usually presents with significant lung involvement.

Observation:

  • This report details a rare case of chylothorax in an adult.
  • Mycobacterium tuberculosis was identified as the causative agent in the pleural fluid.

Findings:

  • The patient presented with chylothorax as the only intrathoracic manifestation of tuberculosis.
  • No extensive intrapulmonary involvement was observed, differentiating it from typical tuberculous effusions.

Implications:

  • Highlights the possibility of isolated tuberculous chylothorax, challenging diagnostic assumptions.
  • Emphasizes the need to consider tuberculosis in adult chylothorax, even with atypical presentations.
  • Suggests that pleural fluid analysis for Mycobacterium tuberculosis is crucial in diagnosing rare chylothorax cases.

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