Tuberculous empyema diagnosed by pleural biopsy

• 발행기관: 조선대학교 의학연구원
• 저자명: Heon Yeong Yang Yong Wook Kim Kyoung Sim Kim Eun Young Kim Young Kim Hae In Jang Hyoung Min Cho
• 간행물 정보: 『The Medical Journal of Chosun University』제44권 제2호, 111~114쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.10.30

영문 초록

Tuberculosis (TB) is still a significant public health problem in Korea. In many cases, it is not easy to diagnose TB. A 13-year-old male patient was admitted for left chest pain for 6 months period. Chest radiography done two months ago during the school screening revealed a pleural effusion in the left lung. All cultures were negative, and 3 sputum samples and his pleural fluid sample tested negative for Acid-fast bacilli. There was no evidence of a malignant effusion. A pleural fluid examination revealed features suggestive of an empyema. Thick and yellowish pus was drawn out. Pleural fluid analysis presented White blood cell 5,200/mm3, and neutrophil-dominant with 60% of neutrophil. In an effort to attain a diagnosis, a video-assisted thoracoscopy procedure was performed with pleural drainage and biopsies. Active chronic granulomatous pleuritis was found through pleural biopsies. He was responsive to treatment and received 6 months of anti-TB therapy with complete clinical resolution. If the clinical picture is in confusion, pleural biopsy is occasionally indicated to diagnose TB pleuritis.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONCLUSION

키워드

Tuberculosis Empyema Pleural biopsy Pediatrics