A case report of tuberculous chylothorax

Rodríguez-Hidalgo, Luis Alejandro; Concepción-Urteaga, Luis Alberto; Cornejo-Portella, Jorge Luis; Alquizar-Horna, Oscar Neri; Aguilar-Villanueva, Daniel Anderson; Concepción-Zavaleta, Marcio José; Ruiz-Caballero, Diana Cecilia

doi:10.5867/medwave.2019.05.7655

Cited by 2 publications

(2 citation statements)

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“…Treatment for tuberculosis includes anti-tuberculous therapy. 4 It can be a challenge to diagnose patients with Gorham's disease on the clinical, histological and radiological feature. In clinical practice, Gorham's disease is often a diagnosis by exclusion, after ruling out inflammatory, infectious, metabolic and neoplastic diseases.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Chylothorax Manifestation of Gorham’s Disease, Lymphangioma and Tuberculosis

Dananjaya

Setyawan²,

Putu³

et al. 2022

MRJ

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Background: Chylothorax is a rare condition caused by accumulation of chyle in the pleural cavity (2-3%). More rare causes are Gorham's disease and tuberculosis Case: A 31-year-old male complained of swelling left arm and shortness of breath with recurrent pleural effusion. Pleural fluid analysis showed chylous. Bone survey showed osteolytic lesions of multiple bones as Gorham's disease. Thoracic CT showed left lung mass, atelectasis, massive fluidothorax, ipsilateral supraclavicular lymphadenopathy, destructive left scapula. Needleaspiration of left humerus revealed lymphangioma. Expert Mtb-Rif examination revealed Mtb detected. We assessed Gorham'sdisease, lymphangioma and lung tuberculosis with complication recurrent chylothorax and was treated anti-tuberculosis, anti-osteolytic and thorax catheter insertion. Conclusion: Difficult and rare case of chylothorax in one patient with Gorham’s disease and tuberculosis, is a poor prognosis. Keywords: Chylothorax, Gorham's Disease, Tuberculosis

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Section: Discussionmentioning

confidence: 99%

“…3 Tuberculous chylothorax is a rare infectious disease that occurs when the thoracic duct is obstructed. 4 The case is interesting, it includes very rare cases, recurrent massive chylothorax manifestations of Gorham's disease, lymphangioma and pulmonary tuberculosis…”

Section: Introductionmentioning

confidence: 99%