Extra-Pulmonary Tuberculosis: Retrospective Review of 83 Confirmed Cases, Observed in Radiology in Lom&amp;#233; (TOGO)

Tchaou, Mazamaesso; Darré, Tchin; Mossi, Komi Edem; Sonhaye, Lantam; Djibril, Mohaman Awalou; Kotosso, Awereou; Agoda-Koussema, LK; Adjenou, K; N'dakena, K.

doi:10.4236/ojrad.2016.61007

Cited by 2 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No differences in sex distribution have been cited. Chylous ascites is uncommon, with an occurrence of one in 20,000 hospital admission (Tchaou et al, 2016;Kim et al, 2014;Wolf, 2018).…”

Section: Case Reportmentioning

confidence: 99%

“…In developed countries the most common causes are malignancy (hepatoma, lymphoma, angiosarcoma) and hepatic cirrhosis, while the most common causes in developing countries are infectious diseases (TB and filariasis). Other causes are spontaneous bacterial peritonitis, peritoneal dialysis, carcinoid syndrome, congenital disorders, Kaposi sarcoma, superior cava vein thrombosis, mediastinal fibrosis, hypothyroidism, nephrotic syndrome, pancreatitis, ischemic cardiomyopathy, constrictive pericarditis, systemic lupus erythematosus (SLE), and Henoch-Schonlein purpura (Tchaou et al, 2016;Kim et al, 2014;Wolf, 2018).…”

Section: Etiology and Pathophysiology Of Chylous Effusionmentioning

confidence: 99%

“…Extra-pulmonary forms of TB pose a big public health problem, because unlike pulmonary forms that lead patients quickly at health centers, they are commonly unrecognized or late diagnosed, which delay the treatment. This delay in diagnosis is not only due to the delay in the examination, but also due to the diagnostic difficulties related to extra-pulmonary TB (Tchaou et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic and management problems of chylous effusion in a patient with newly-diagnosed tuberculosis

Febrianto¹,

Hadi²

2021

CIMRJ

View full text Add to dashboard Cite

Tuberculosis (TB) remains a major cause of morbidity and mortality globally. Although TB most commonly affects the lungs, any organ or tissue can be involved. Extra-pulmonary forms of TB are commonly unrecognized or late diagnosed. Chylous effusion, i.e. chylothorax and chylous ascites, which is characterized by the presence of chyle in the pleural and peritoneal cavities, is an uncommon manifestation of extra-pulmonary TB. A 22-year-old male, referred to Dr. Soetomo Hospital with complaints of dyspnea, fever, and abdominal distension. Chest X-ray showed pleural effusion. Analysis of fluid obtained from thoracentesis and paracentesis showed chylothorax and chylous ascites. M. tuberculosis had been found in sputum smear examination. ADA (adenosine deaminase) test was performed on ascites fluid and a positive result was obtained. Chylous effusion in this patient were concluded to be related to TB. Patient was then treated with anti-TB drugs and somatostatin. Chylothorax and chylous ascites improved after treatment with somatostatin for 1 week. Administration of anti-TB drugs was planned to be continued for 9 months. The most common causes of non-traumatic chylous effusion in developing countries are infection of TB and filariasis. Chylous effusion is caused by obstruction or disruption of the lymphatic system. ADA test is a new biomedical method that begins to expand its use in body fluids to diagnose extra-pulmonary TB. Fasting, together with total parenteral nutrition, can decrease the lymph flow and balance metabolic impairment. Somatostatin has been used in the treatment of chylous effusion as it diminishes peristalsis and intestinal absorption of fats as well as decreases portal pressure.

show abstract

“…No differences in sex distribution have been cited. Chylous ascites is uncommon, with an occurrence of one in 20,000 hospital admission (Tchaou et al, 2016;Kim et al, 2014;Wolf, 2018).…”

Section: Case Reportmentioning

confidence: 99%

Section: Etiology and Pathophysiology Of Chylous Effusionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic and management problems of chylous effusion in a patient with newly-diagnosed tuberculosis

Febrianto¹,

Hadi²

2021

CIMRJ

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Diagnostic Problem in a Patient with Tuberculosis Arthritis

Febrianto¹,

Awalia²

2023

CIMRJ

View full text Add to dashboard Cite

Extra-pulmonary tuberculosis (TB) remains a big public health problem worldwide. Although TB most commonly affects the lungs, any organ or tissue can be involved. TB arthritis is a rare form of extra-pulmonary TB. TB arthritis usually manifests as mild and non-specific arthritis. A 35-year-old male was admitted to the emergency room of Dr. Soetomo General Academic Hospital Surabaya due to pain of left knee since two days prior to admission. His symptom began on previous six months with the swelling of the left knee that gradually worsened so that he had an antalgic gait. Radiological examination of left knee joint showed inflammatory arthritis, accompanied by joint effusion and soft tissue swelling. USG examination of the left knee showed the presence of non-specific left knee arthritis. Patient underwent debridement. Anatomical pathology examination of the tissue obtained at the time of debridement, showed the TB granulomatous inflammation. The Ziehl-Nielson stain of left knee tissue also showed the TB granulomatous inflammation. Patient was then treated with analgesics and anti-TB drugs. The intensive phase of anti-TB therapy was planned to be 2 month, then evaluated and followed by continuation phase for about 7 months. The knee joint is the third most common site of osteoarticular TB after spine and hip. Insidious onset of pain which, in some patients may be present for years, is the usual presentation. The joint is usually warm, and wasting of the thigh muscles is usually marked. Synovial hypertrophy and effusion are present in most patients. The gold standard for diagnosis of TB arthritis is synovial biopsy, with positive results in 80% of cases. It shows caseating granulomas, lymphocytes, and giant cells with caseation, which are characteristics of TB arthritis. Synovial biopsy is generally recommended in any arthritis where clinical evaluation and routine investigations do not give a clear diagnosis.

show abstract

Extra-Pulmonary Tuberculosis: Retrospective Review of 83 Confirmed Cases, Observed in Radiology in Lomé (TOGO)

Cited by 2 publications

References 10 publications

Diagnostic and management problems of chylous effusion in a patient with newly-diagnosed tuberculosis

Diagnostic and management problems of chylous effusion in a patient with newly-diagnosed tuberculosis

Diagnostic Problem in a Patient with Tuberculosis Arthritis

Contact Info

Product

Resources

About