Volume 28, Issue 129 (July & August 2020)                   J Adv Med Biomed Res 2020, 28(129): 218-224 | Back to browse issues page

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Allami A, Farzam S S, HosseinZade S. Pleural Space Complications from Tuberculous Empyema: A Case Report and Short Literature Review. J Adv Med Biomed Res 2020; 28 (129) :218-224
URL: http://journal.zums.ac.ir/article-1-6014-en.html
Pleural Space Complications from Tuberculous Empyema: A Case Report and Short Literature Review
Abbas Allami *1 , Seyed Saeed Farzam2 , Shokrollah HosseinZade3
1- Dept. of Infectious Diseases, Clinical Research Development Unit, BouAli Sina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran , allami9@yahoo.com
2- Dept. of Cardiology, BouAli Sina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran
3- Dept. of Infectious Diseases, Clinical Research Development Unit, BouAli Sina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran
Abstract:   (143275 Views)

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.

Keywords: Bronchopleural fistula, Empyema, Tuberculous empyema
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✅ 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.


Type of Study: Case Report Article | Subject: Clinical Medicine
Received: 2020/05/11 | Accepted: 2020/07/15 | Published: 2020/08/11
References
1. Zhai K, Lu Y, Huan-Zhong S. Tuberculous pleural effusion. J Thorac Dis. 2016; 8 (7): E486-94. [DOI:10.21037/jtd.2016.05.87]
2. Tavakoli A. Incidence and prevalence of tuberculosis in Iran and neighboring countries. Zahedan J Res Med Sci. 2017 ; 19(7):e9238. [DOI:10.5812/zjrms.9238]
3. Wen P, Wei M, Han C, He Y, Wang MS. Risk factors for tuberculous empyema in pleural tuberculosis patients. Sci Rep. 2019;9(1):1-6. [DOI:10.1038/s41598-019-56140-4]
4. Akgül AG, Örki A, Örki T, Yüksel M, Arman B. Approach to empyema necessitatis. World J Surg. 2011;35(5):981-4. [DOI:10.1007/s00268-011-1035-5]
5. Kundu S, Mitra S, Mukherjee S, Das S. Adult thoracic empyema: A comparative analysis of tuberculous and nontuberculous etiology in 75 patients. Lung India. 2010;27(4):196. [DOI:10.4103/0970-2113.71939]
6. Malhotra P, Aggarwal A, Agarwal R, Ray P, Gupta D, Jindal S. Clinical characteristics and outcomes of empyema thoracis in 117 patients: A comparative analysis of tuberculous vs. Non-tuberculous aetiologies. Respir Med. 2007;101(3):423-30. [DOI:10.1016/j.rmed.2006.07.016]
7. Lin MT, Wang JY, Yu CJ, Lee LN, Yang PC, Group T. Mycobacterium tuberculosis and polymorphonuclear pleural effusion: Incidence and clinical pointers. Respir Med. 2009;103(6):820-6. [DOI:10.1016/j.rmed.2008.12.023]
8. Gui X, Xiao H. Diagnosis of tuberculosis pleurisy with adenosine deaminase (ada): A systematic review and meta-analysis. Int J Clin Exp Med. 2014;7(10):3126.
9. Sharngan S, Nair RS, Rajan D. Diagnostic cut-off of pleural fluid adenosine deaminase (ada) value in tuberculous pleural effusion. History. 2018;19:49. [DOI:10.14260/jemds/2018/191]
10. Porcel JM, Esquerda A, Bielsa S. Diagnostic performance of adenosine deaminase activity in pleural fluid: A single-center experience with over 2100 consecutive patients. Eur J Intern Med. 2010;21(5):419-23. [DOI:10.1016/j.ejim.2010.03.011]
11. Lewinsohn DM, Leonard MK, Lobue PA, et al. Official american thoracic society/infectious diseases society of america/centers for disease control and prevention clinical practice guidelines: Diagnosis of tuberculosis in adults and children. Clin Infect Dis. 2017;64(2):e1-e33. [DOI:10.1093/cid/ciw694]
12. Fang Y, Xiao H, Sha W, Hu H, You X. Comparison of closed-chest drainage with rib resection closed drainage for treatment of chronic tuberculous empyema. J Thorac Dis. 2018;10(1):347. [DOI:10.21037/jtd.2017.11.123]
13. Acharya PR, Shah KV. Empyema thoracis: A clinical study. Ann Thorac Med. 2007;2(1):14. [DOI:10.4103/1817-1737.30356]
14. Merid Y, Woldeamanuel Y, Abebe M, Datiko D, Hailu T, Habtamu G, et al. High utility of active tuberculosis case finding in an ethiopian prison. Int J Tuberc Lung Dis. 2018;22(5):524-9. [DOI:10.5588/ijtld.17.0635]
15. Colice GL, Curtis A, Deslauriers J, et al. Medical and surgical treatment of parapneumonic effusions: An evidence-based guideline. Chest. 2000;118(4):1158-71. [DOI:10.1378/chest.118.4.1158]
16. Bhuniya S, Arunabha DC, Choudhury S, Saha I, Roy TS, Saha M. Role of therapeutic thoracentesis in tuberculous pleural effusion. Ann Thorac Med. 2012;7(4):215. [DOI:10.4103/1817-1737.102176]
17. De Hoyos A, Sundaresan S. Thoracic empyema. Surg Clin. 2002;82(3):643-71. [DOI:10.1016/S0039-6109(02)00022-1]
18. Sihoe AD, Shiraishi Y, Yew WW. The current role of thoracic surgery in tuberculosis management. Respirol. 2009;14(7):954-68. [DOI:10.1111/j.1440-1843.2009.01609.x]
19. Sarkar A, Sharma H, Razdan S, Kuhar S, Bansal N, Kaur G. Effect of segmental breathing exercises on chest expansion in empyema patients. Physiother Occup Ther. 2010;4(3):17.
20. Webb A, Gattinoni L. The respiratory system: Pleural cavity problems (4): Pleural effusion and haemothorax (125). Oxford textbook of critical care e-book: Oxford University Press.; 2016. p. 580.
21. Al-Kattan KM. Management of tuberculous empyema. Eur J Cardiothorac Surg. 2000;17(3):251-4. [DOI:10.1016/S1010-7940(99)00370-X]
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