Comparison of closed-chest drainage with rib resection closed drainage for treatment of chronic tuberculous empyema

Fang, Yong; Xiao, Heping; Wei, Sha; Hu, Hejing; You, Xiaofang

doi:10.21037/jtd.2017.11.123

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…TE, is less common and represents an infection of the pleural space by M.TB that provokes the accumulation of purulent pleural fluid 19 . TE usually occurs in younger and middle-aged patients 20 . However, the accurate incidence has not been properly evaluated recently.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for tuberculous empyema in pleural tuberculosis patients

Peng

Wei

Han

et al. 2019

Sci Rep

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Tuberculous empyema (TE) is associated with high mortality and morbidity. In the retrospective cohort study, we aimed to find risk factors for TE among pleural tuberculosis (TB) patients. Between July 2011 and September 2015, all culture-confirmed pleural TB patients (474 cases) were enrolled in our study. Empyema was defined as grossly purulent pleural fluid. Demographic and epidemiological data were collected for further analysis. Multivariate logistic regression analysis was used to evaluate risk factors of TE in pleural TB, age–adjusted odds ratio (OR) and 95% confidence interval (CI) were calculated to show the risk. The mean age was 35.7 ± 18.1 years old, males comprised 79.1% of the participants (375 cases). Forty-seven patients (9.9%) were multidrug-resistant TB (MDR-TB), 29 (6.1%) had retreatment TB, 26 (5.5%) had diabetes mellitus. The percentage of empyema patients was 8.9% (42 cases). Multivariate analysis revealed that male (adjusted OR = 4.431, 95% CI: 1.411, 13.919), pleural adenosine deaminase (ADA, >88 U/L) (adjusted OR = 3.367, 95% CI: 1.533, 7.395) and white blood cell (WBC, >9.52 109/L) (adjusted OR = 5.763, 95% CI: 2.473, 13.431) were significant risk factors for empyema in pleural TB, while pulmonary TB (adjusted OR = 0.155, 95% CI: 0.072, 0.336) was the protective factor for the patients. TE remains a serious threat to public health in China. Male sex is a significant risk factor for TE while the presence of pulmonary TB is protective, and high levels of pleural ADA and WBC count could aid in early diagnosis of TE. This finding would help towards reducing the mortality and morbidity associated with TE.

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Section: Discussionmentioning

confidence: 99%

Risk factors for tuberculous empyema in pleural tuberculosis patients

Peng

Wei

Han

et al. 2019

Sci Rep

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Effusions related to TB

Shaw¹,

Ahmed²,

Koegelenberg³

2020

Pleural Disease

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Pleural Space Complications from Tuberculous Empyema: A Case Report and Short Literature Review

Allami

Farzam

HosseinZade

2020

J Adv Med Biomed Res

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10.30699/jambs.28.129.218 Tuberculous empyema (TE) is an uncommon form of pleural tuberculous (TB). Although the incidence of TE has significantly decreased, it still threatens public health. Patients with TE experience a protracted illness and significant morbidity and mortality risk. Male sex is a significant risk factor for TE. Herein, we report an adult case of TE admitted to a tertiary care hospital of Iran with clinical characteristics, treatment modalities, and outcomes of this disease. The duration of illness and duration of chest tube drainage equaled 7 months and 48 days, respectively. Our patient required surgery despite the administration of antituberculosis drugs and chest tube drainage. Due to the presence of parenchymal lesions, bronchopleural fistula, and failure of lung re-expansion after chest tube insertion, the patient required decortication with the closure of the bronchopleural fistula and additional thoracoplasty. In the case presentation, we emphasize difficulties encountered in the treatment of such patients.

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Comparison of closed-chest drainage with rib resection closed drainage for treatment of chronic tuberculous empyema

Cited by 3 publications

References 19 publications

Risk factors for tuberculous empyema in pleural tuberculosis patients

Risk factors for tuberculous empyema in pleural tuberculosis patients

Effusions related to TB

Pleural Space Complications from Tuberculous Empyema: A Case Report and Short Literature Review

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