| Autor: |
Toru, Ümran, Gezer, Suat, Dumlu, Talha, Özmen, Kezban, Karapolat, Bekir Sami, Annakkaya, Ali Nihat |
| Jazyk: |
angličtina |
| Rok vydání: |
2011 |
| Předmět: |
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| Popis: |
Purpose: Clinical manifestations of secondary spontaneous pneumothorax were detected in patients with lung tuberculosis and other non-specific lung diseases. Pneumothorax is an important and dangerous complication of pulmonary tuberculosis. Thus, we report two pulmonary tuberculosis cases presented with spontaneous pneumothorax. Cases:Case 1: A 36-years-old female patient admitted to our emergency department with a complaint of sudden onset shortness of breath. Chest graph displayed a right total pneumothorax and tube thoracostomy was performed. She had empyematous pleural fluid drainage on 3rd day and positivity for ARB was detected in pleural fluid and sputum. Four-drug anti-tuberculosis therapy was started with the diagnoses of tuberculosis pleurisy and lung tuberculosis. The tube was removed after her lung had expanded and pleural fluid drainage had ceased on 42nd day, and discharged with the continuation of therapy at home. Case 2: A 48 years old male patient admitted with complaints including sudden onset shortness of breath and cough. Chest graph showed left pneumothorax and tube thoracostomy was performed. Chest graph of post-intervention showed that the lung was completely expanded but also there was a left para-cardiac infiltration. It was thought that the infiltration may have been of tuberculosis and studied sputum ARB was positive and a four-drug anti-tuberculosis therapy was started. The patient got well clinically and the tube was removed on 8th day and he was discharged with the continuation of therapy at home. Conclusion: Pulmonary tuberculosis should be kept in mind that it may be life threatening and need emergent intervention when presented with pneumothorax. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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