Pneumothorax in Patients with Pulmonary Tuberculosis

Belmonte, Romelle; Crowe, Helen M.

doi:10.1093/clinids/20.6.1565

Cited by 18 publications

(17 citation statements)

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“…12 Although re-expansion occurs in some patients due to TB treatment, most of these patients require chest-tube insertion, which is the treatment of choice for complete drainage and resolution. 13,14 At Masih Daneshvari Hospital, Iran's sole TB-referral center and a specialized center for chest disease and thoracic surgery, we see numerous patients with TB-induced pneumothorax or hydropneumothorax. We evaluated patients with TB-induced pneumothorax or hydropneumothorax and assessed the outcomes of surgeries.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis-Associated Secondary Pneumothorax: A Retrospective Study of 53 Patients

Shamaei¹,

Tabarsi²,

Pojhan

et al. 2011

Respir Care

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BACKGROUND: Pneumothorax is a well known complication of pulmonary tuberculosis (TB), particularly in patients with advanced TB. METHODS: At our national TB-referral hospital, we compared the medical records of 53 TB patients with pneumothorax and 106 TB patients without pneumothorax, seen in 2003 to 2008. We analyzed data on demographics; TB type (smear-positive, smear-negative, extrapulmonary); patient type (new patient, relapse, treatment default, treatment failure); clinical and radiological manifestations; surgeries; and outcomes. RESULTS: Of the 53 pneumothorax patients, 34 (64%) were male. The pneumothorax group's mean age was 34 y (range 14 -76 y). Thirty-six (68%) of the pneumothorax patients were new TB cases (ie, TB undiagnosed before they presented with pneumothorax). Pneumothorax was not significantly associated with sex, smoking, or drug use. Pneumothorax was significantly more common in patients < 30 years old (P < .001). In terms of radiological manifestations, 20 pneumothorax patients (38%) had cavitary lesions, and pulmonary infiltration and effusion were present in 19 (36%) and 17 (32%) patients, respectively. Cavitary lesion was significantly more common among the pneumothorax patients (P ‫؍‬ .006). Overall, 47 (89%) of the pneumothorax patients were relieved with chest-tube insertion; the other pneumothorax patients were only observed. CONCLUSIONS: In patients < 30 years old or with cavitary lesions, worsening of the patient's respiratory condition should prompt consideration of pneumothorax.

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Section: Introductionmentioning

confidence: 99%

Tuberculosis-Associated Secondary Pneumothorax: A Retrospective Study of 53 Patients

Shamaei¹,

Tabarsi²,

Pojhan

et al. 2011

Respir Care

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“…Secondary SP (SSP) is associated with clinical or radiological evidence of significant lung disease, most frequently a consequence of chronic obstructive pulmonary disease (COPD). Pulmonary tuberculosis (TB) has been repeatedly described as a frequent cause of SSP [2][3][4][5][6], with a very variable presentation frequency according to the few authors that have studied this matter. Over the past few decades, a clearly growing incidence of SSP caused by TB has been described [4].…”

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confidence: 99%

“…Pulmonary tuberculosis (TB) has been repeatedly described as a frequent cause of SSP [2][3][4][5][6], with a very variable presentation frequency according to the few authors that have studied this matter. Over the past few decades, a clearly growing incidence of SSP caused by TB has been described [4]. The frequency with which SSP can complicate the course of TB has also been little studied, with figures ranging from 0.6 to 1.4% [5].…”

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confidence: 99%

Spontaneous pneumothorax and tuberculosis: long-term follow-up

Freixinet¹,

Caminero²,

Marchena³

et al. 2010

European Respiratory Journal

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Though spontaneous pneumothorax (SP) is a well-known complication of pulmonary tuberculosis (TB), there are very few reports addressing this topic. For this reason, we retrospectively analysed the experience of SP in patients diagnosed with TB in our hospital between 1989 and 2010.Out of 872 patients treated for SP during this period, 47 (5.4%) had TB antecedents, 21 with active TB (0.95% of the 2,089 TB cases diagnosed during this period) and 26 with residual inactive TB. 46 cases were treated with pleural drainage (PD): 40 (85%) with only one PD, two with two, and four with three. The mean¡SD length of PD treatment was 12.9¡11.3 days. In 11 (23%) cases, a relapse of SP occurred, with no statistical relationship between the different studied variables. In 13 (28%) cases, it became necessary to carry out a resection (atypical segmentectomy in all cases) for persistent air leaks with PD. Survival statistics were unfavourable only in elderly patients and those infected with HIV.We conclude that the treatment of SP secondary to TB with PD is usually a sound response, with a good general prognosis and a low percentage of cases that require another PD and surgical treatment.

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“…Previous studies on TB in adult population have shown a 0.6 to 1.4% possibility of this complication occurring. 14,15 We observed pneumothorax in 5.83% cases. Haemoptysis is another lifethreatening complication of TB.…”

Section: Discussionmentioning

confidence: 68%