Chylothorax spontané bilatéral révélant une tuberculose ganglionnaire médiastinale et abdominale

Hammoumi, M.M. El; Drissi, Ghassen; Achir, A.; Benchekroun, A; Kabiri, El Hassane; Benosman, A.

doi:10.1016/j.pneumo.2013.06.005

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…Table) [6-40]; we excluded 8 reports containing 12 cases [41-49] because neither the full texts nor abstracts were available, as well as another 5 reports with 5 cases because there was no microbiologic or pathologic evidence of TB [50-54]. The cases where full information was not available were treated as “missing data.” There were 20 males and 16 females with a mean age of 39.27 ± 4.13 years; 13.9% (5/36) were children [15, 22, 23, 26].…”

Section: Resultsmentioning

confidence: 99%

Tuberculosis-Associated Chylothorax: Case Report and Systematic Review of the Literature

Srinivas

Kancherla

Ramanathan³

2018

Respiration

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Tuberculosis (TB) is a rare cause of chylothorax. We describe a case and the results of a systematic review of all reported cases of TB-chylothorax. We identified 37 cases of TB-chylothorax. The symptoms at presentation were constitutional (85.7%; 30/35), dyspnea (60.6%; 20/33), and cough (54.5%; 18/33). Chylothorax developed subsequent to the diagnosis of TB in 27.8% (10/36) of the patients, after a median of 6.75 weeks (IQR 4–9). Chylothorax developed during an immune reconstitution syndrome (IRS) in 16.7% (10/36) of the patients, including immunocompetent ones. TB was disseminated in 45.9% (17/37) of the patients at the diagnosis of chylothorax. Chylothorax developed in the absence of any mediastinal lymphadenopathy in 45.9% (17/37) of the patients; 13.5% (5/37) had isolated tubercular empyema alone. The diagnosis of TB was established microbiologically in 72.2% (26/36) and by biopsy alone in 27.8% (9/36) of the patients. Anti-TB treatment (ATT) was administered for a median of 7.57 months (IQR 6–9). Steroids were administered to 22.9% (8/35) of the patients, often for suspected IRS. Thoracic duct ligation and octreotide were required for only 17.1% (6/35) and 8.6% (3/35) of the patients, respectively. In all, 94.4% (34/36) of the patients had resolution of chylothorax and completed treatment successfully; only 5.6% (2/36) died. In conclusion, TB-chylothorax may develop without obvious mediastinal lymphadenopathy and be associated with tubercular empyema alone. TB-chylothorax can develop during treatment of TB due to IRS, even in immunocompetent patients. ATT and dietary manipulation are associated with good resolution and low mortality, and duct ligation is needed for only a small minority of patients.

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Section: Resultsmentioning

confidence: 99%

Tuberculosis-Associated Chylothorax: Case Report and Systematic Review of the Literature

Srinivas

Kancherla

Ramanathan³

2018

Respiration

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“…They reported improvement of the patient’s health with antituberculosis treatment, dietary regimen rich in protein but low in fat, and supportive treatment. Hammoumi et al, also reported that they achieved cure with antituberculosis and supportive medical treatment in a patient with chylothorax secondary to mediastinal and abdominal tuberculous lymphadenitis [2, 5]. In our country, Buyuksirin et al, detected growth of M.tuberculosis in chylous pleural aspiration fluid of a 22-year-old female patient who presented with pleural effusion, and achieved favorable response with antituberculosis treatment [8].…”

Section: Discussionmentioning

confidence: 99%

“…Pleural fluid TG level <50 mg/dL rules out diagnosis of chylothorax. If pleural fluid TG level is 50–100 mg/dL, then presence of chylomicrons in pleural fluid may establish diagnosis [2, 4–6]. …”

Section: Discussionmentioning

confidence: 99%

“…In some case reports, therapeutic use of octreotide has been indicated. In traumatic injury, defect of the thoracic duct generally closes spontaneously; however, if chylothorax persists for longer than 4 weeks, ligation of the thoracic duct during surgical exploration may be considered [1, 2, 4, 7]. …”

Section: Discussionmentioning

confidence: 99%

“…Chylothorax secondary to tuberculous lymphadenitis is rarely seen condition cited in the literature in only scarce number of case reports [1, 2]. In tuberculosis of mediastinal lymph node, lymph nodes obstruct thoracic duct and/or cisterna chyli or infiltrate these structures, which may lead to increase in pressure inside surrounding lymphatic system and leakage of chylous material into pleural cavity [1–3].…”

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confidence: 99%

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Chylothorax due to lymphadenitis of tuberculosis: Case Report

Kutlu

Demirbaş

Sakin

2016

North Clin Istanbul

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Chylothorax is a rare clinical condition characterized by high triglyceride and low cholesterol levels in milky pleural aspirate. Generally, it occurs through leakage of chyle as result of trauma or malignancy. Chylothorax due to tuberculous lymphadenitis is very rare clinical condition that has only been documented in a few cases. Although precise pathogenesis is not known, enlarged mediastinal and hilar lymph nodes are thought to be associated with opening of collateral anastomosis between thoracic duct and the azygos and intercostal veins by creating pressure on thoracic duct and cisterna chyli. Presently described is case of chylothorax thought to be due to compression from mediastinal tuberculous lymphadenitis, and which had complete remission after antituberculosis treatment.

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İzole Tüberküloz Lenfadenite Bağlı Şilotoraks

Ateş

2023

IGH

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Despite advances in medicine, tuberculosis is still an important health problem today. About 20% of these are extrapulmonary tuberculosis, primarily lymph node, and pleura. Although it is rare in developed countries, tuberculous lymphadenitis and related chylothorax can be seen in some countries. In this article, we aimed to increase the awareness on the diagnosis of tuberculous lymphadenitis in a patient which we operated for chylothorax.

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Chylothorax spontané bilatéral révélant une tuberculose ganglionnaire médiastinale et abdominale

Cited by 5 publications

References 14 publications

Tuberculosis-Associated Chylothorax: Case Report and Systematic Review of the Literature

Tuberculosis-Associated Chylothorax: Case Report and Systematic Review of the Literature

Chylothorax due to lymphadenitis of tuberculosis: Case Report

İzole Tüberküloz Lenfadenite Bağlı Şilotoraks

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