Tuberculous chylothorax constitutes an exceptional clinical condition. Only 5 cases have been recorded in the literature (Medline search, from 1970 to May 2009). We describe a case of tuberculous chylothorax that contains some elements of originality. The CT scan of the thorax showed multiple bitateral circular lung opacities, looking like coin lesions; no medi-astinic lymphoadenopathy was seen. These radiological findings, typical of metastatic pulmonary lesions, guided our diagnostic procedures to suspect a malignant form of neoplastic chylothorax. Hence we performed a diagnostic thoracoscopy suggesting to us a tubercular disease; pleural biopsy presented histological findings typical of tuber lesions. The diagnosis was confirmed with the isolation of Mycobacterium tuberculosis on the Lowestein-Jensen culture of sputum.

. A rare case of chylothorax due to Mycobacterium tuberculosis / Fois, Alessandro Giuseppe; Ostera, S; Spada, V; COSSU ROCCA, Paolo Alessandro; Ibba, A; Pirina, Pietro. - In: MULTIDISCIPLINARY RESPIRATORY MEDICINE. - ISSN 1828-695X. - 4:5(2009), pp. 354-357.

. A rare case of chylothorax due to Mycobacterium tuberculosis

FOIS, Alessandro Giuseppe;COSSU ROCCA, Paolo Alessandro;PIRINA, Pietro
2009

Abstract

Tuberculous chylothorax constitutes an exceptional clinical condition. Only 5 cases have been recorded in the literature (Medline search, from 1970 to May 2009). We describe a case of tuberculous chylothorax that contains some elements of originality. The CT scan of the thorax showed multiple bitateral circular lung opacities, looking like coin lesions; no medi-astinic lymphoadenopathy was seen. These radiological findings, typical of metastatic pulmonary lesions, guided our diagnostic procedures to suspect a malignant form of neoplastic chylothorax. Hence we performed a diagnostic thoracoscopy suggesting to us a tubercular disease; pleural biopsy presented histological findings typical of tuber lesions. The diagnosis was confirmed with the isolation of Mycobacterium tuberculosis on the Lowestein-Jensen culture of sputum.
. A rare case of chylothorax due to Mycobacterium tuberculosis / Fois, Alessandro Giuseppe; Ostera, S; Spada, V; COSSU ROCCA, Paolo Alessandro; Ibba, A; Pirina, Pietro. - In: MULTIDISCIPLINARY RESPIRATORY MEDICINE. - ISSN 1828-695X. - 4:5(2009), pp. 354-357.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/45154
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