Pregnancy with bilateral tubercular pleural effusion: challenges

Ahuja, Vanita; Gombar, Satinder; Kumar, Navneet; Goyal, Nitika; Gupta, Kashvi

doi:10.1177/0049475513517117

Cited by 5 publications

(3 citation statements)

References 4 publications

(6 reference statements)

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“…The search identified 4442 non-duplicate records. After title and abstract screening, as well as a full text review, 12 studies were included, as shown in Figure 1 [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ], with one study included from the reference screening of a previous article [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…The first concerned the diagnosis of pleural effusions, initially investigated in 1989, in 21 young subjects [ 10 ]. Effusions seemed to facilitate the determination of underlying lung lesions [ 12 ], while CUS could detect pleural effusions in early stages [ 16 ]. Secondly, CUS seemed to be accurate in detecting residual pleural thickening after evacuation [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

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Potential Diagnostic Properties of Chest Ultrasound in Thoracic Tuberculosis—A Systematic Review

Gennaro

Pisani

Veronese

et al. 2018

IJERPH

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Background: Chest ultrasound (CUS) has been shown to be a sensitive and specific imaging modality for pneumothorax, pneumonia, and pleural effusions. However, the role of chest ultrasound in the diagnosis of thoracic tuberculosis (TB) is uncertain. We performed a systematic search in the medical literature to better define the potential role and value of chest ultrasound in diagnosing thoracic tuberculosis. Aim: To describe existing literature with regard to the diagnostic value of chest ultrasound in thoracic tuberculosis. Methods: MEDLINE, EMBASE, and Scopus databases were searched for relevant articles. We included studies that used chest ultrasound for the diagnosis or management of any form of thoracic tuberculosis, including pulmonary, pleural, mediastinal, and military forms. Results: We identified five main fields of chest ultrasound application: (1) Detection, characterization, and quantification of TB; (2) detection of residual pleural thickening after evacuation; (3) chest ultrasound-guided needle biopsy; (4) identification of pathologic mediastinal lymph nodes in children; and (5) identification of parenchymal ultrasound patterns. Effusion was also detected, in early stages, with signs of organization in 24–100% of patients. A low to moderate (10–23%), false negative rate was reported for chest ultrasound-guided needle biopsy. CUS was able to identify mediastinal lymph nodes in as many as 67% of patients with negative chest radiography. Conclusions: Very few studies with important methodological limitations analyze the role of chest ultrasound in the diagnosis of TB. The scarce available data suggests potential targets of future diagnostic or feasibility trials, such as the detection of tuberculosis–related pleural effusion, residual pleural thickening, lymphadenopathy, TB parenchymal patterns, or the use of CUS in biopsy guidance.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Potential Diagnostic Properties of Chest Ultrasound in Thoracic Tuberculosis—A Systematic Review

Gennaro

Pisani

Veronese

et al. 2018

IJERPH

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“…In general, the presence of homogeneous echogenic effusion suggests corpuscular effusion (i.e., hemorrhage or empyema), whereas an anechogenic effusion might be transudative. Since 1989, several studies demonstrated that TUS can be useful in detecting sepimentations, loculations, and thickenings of the pleura in adult patients with pulmonary TB (53)(54)(55)(56). However, these studies did not provide data on TUS sensitivity compared to radiographic "gold standard" methods.…”

Section: Pleural Effusionmentioning

confidence: 99%

Chest Imaging in the Diagnosis and Management of Pulmonary Tuberculosis: The Complementary Role of Thoraci Ultrasound

et al. 2021

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Tuberculosis (TB) is a severe infectious disease that still represents a major cause of mortality and morbidity worldwide. For these reasons, clinicians and radiologists should use all the available diagnostic tools in the assessment of the disease in order to provide precise indications about starting an anti-tubercular treatment and reduce risk of TB transmission and complications especially in developing countries where the disease is still endemic. As TB mycobacteria are mainly transmitted through respiratory droplets, the pulmonary parenchyma is usually the first site of infection. As a result, chest imaging plays a central role in the diagnostic process. Thoracic ultrasound (TUS) is a portable, non-invasive, radiation-free, and cost-contained technology which could be easily available in resource-limited settings. This perspective article focuses on the potential role of TUS in the diagnosis and management of patients with pulmonary TB. Unfortunately, there are still insufficient evidence and too contrasting data to judge TUS as an appropriate diagnostic method for the screening of the disease. Despite this, TUS may have a useful role in identifying pleural and anterior pericardial effusions or in the identification of abscesses of the anterior chest wall and paraspinal collections in low- and middle-income settings. In addition, TUS seems to have a milestone role in guiding minimally invasive interventional procedures, such as placement of chest tubes, drainage of loculated collections, thoracentesis and pericardiocentesis, and percutaneous biopsy of subpleural pulmonary consolidations or pleural plaques.

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