Reactivation of Pulmonary Tuberculosis Due to Trauma

Dubrow, Edward L.; Landis, Francis B.

doi:10.1378/chest.68.4.596

Cited by 13 publications

(5 citation statements)

References 3 publications

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“…Another possibility, more specific to PD, would be trauma‐related reactivation in the context of Tenckhoff catheter placement. Trauma as a trigger of reactivation has been reported previously, both in pulmonary and extra‐pulmonary forms of TB, but a causal relationship is difficult to demonstrate conclusively 33,34 …”

Section: Discussionmentioning

confidence: 97%

“…Another possibility, more specific to PD, would be trauma-related reactivation in the context of Tenckhoff catheter placement. Trauma as a trigger of reactivation has been reported previously, both in pulmonary and extra-pulmonary forms of TB, but a causal relationship is difficult to demonstrate conclusively 33,34. 4 | CON CLUS IONA cloudy effluent is frequently considered synonymic to bacterial peritonitis, however, multiple other pathologies can be associated with this finding.…”

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confidence: 99%

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Clearing the clouds: Case‐report and review of the literature

Relvas

Beco

Pereira

et al. 2020

Seminars in Dialysis

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In peritoneal dialysis (PD), a cloudy dialysate is an alarming finding. Bacterial peritonitis is the most common cause, however, atypical infections and non‐infectious causes must be considered. A 46‐year‐old man presented with asthenia, paraesthesia, foamy urine and hypertension. Laboratory testing revealed severe azotaemia, anaemia, hyperkalaemia and nephrotic‐range proteinuria. Haemodialysis was started through a central venous catheter. Later, due to patient preference, a Tenckhoff catheter was inserted. Conversion to PD occurred 3 weeks later, during hospitalization for a presumed central line infection. A month later, the patient was hospitalized for neutropenic fever. He was diagnosed an acute parvovirus infection and was discharged under isoniazid for latent tuberculosis. Four months later, the patient presented with fever and a cloudy effluent. Peritoneal fluid (PF) cytology was suggestive of infectious peritonitis, but the symptoms persisted despite antibiotic therapy. Bacterial and mycological cultures were negative. No neoplastic cells were detected. Mycobacterium tuberculosis eventually grew in PF cultures, despite previous negative molecular tests. Directed therapy was then initiated with excellent response. Thus, facing a cloudy effluent, one must consider multiple aetiologies. Diagnosis of peritoneal tuberculosis is hampered by the lack of highly sensitive and specific exams. Here, diagnosis was only possible due to positive mycobacterial cultures.

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Section: Discussionmentioning

confidence: 97%

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confidence: 99%

Clearing the clouds: Case‐report and review of the literature

Relvas

Beco

Pereira

et al. 2020

Seminars in Dialysis

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“…The epidural puncture drained the epidural abscess and might have, as a mild trauma, exacerbated the tuberculous spinal lesion. 8 In summary, we recommend that, however mild the symptoms are, abnormal recovery after an epidural puncture should lead to rapid and effective imaging. Tuberculosis is a latent illness, which is still a topical illness, especially in the nonnative and immunocompromised population.…”

Section: Bifocal Tuberculosis Highlighted By Obstetric Combined Spina...mentioning

confidence: 99%

Bifocal Tuberculosis Highlighted by Obstetric Combined Spinal–Epidural Analgesia

Morau

Lotthe²,

Morau³

et al. 2005

Anesthesiology

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“…Radiation therapy of a pulmonary neoplasm may lead to reactivation of adjacent dormant tuberculous foci, as may trauma to the chest either by causing direct rupture of a caseous lesion with spread of bacilli to fresh sites, or by causing blood‐borne bacilli to localize in previously uninfected tissues at a distance from the established tuberculous lesions (5).…”

Section: Reactivated Tuberculosismentioning

confidence: 99%

Reactivation of Tuberculosis: A Problem of Aging

Dubrow

1976

J American Geriatrics Society

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Six examples demonstrate the reactivation of pulmonary tuberculosis in elderly patients. In 3 cases the tuberculosis became reactivated 25, 47 and 51 years respectively after the initial diagnosis. In aged patients with pulmonary symptoms and abnormal x-ray findings, the presence of reactivated tuberculosis should always be considered. Sometimes steroid or x-ray therapy for other disease may be the reactivating factor.

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Reactivation of Pulmonary Tuberculosis Due to Trauma

Cited by 13 publications

References 3 publications

Clearing the clouds: Case‐report and review of the literature

Clearing the clouds: Case‐report and review of the literature

Bifocal Tuberculosis Highlighted by Obstetric Combined Spinal–Epidural Analgesia

Reactivation of Tuberculosis: A Problem of Aging

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