Taşar M Ayşin, Bostanci Ilknur, Aslan Sinan, Yilmaz Resul, Dallar Yildiz
Department of Pediatrics, Ankara Education and Research Hospital, Ankara, Turkey.
Tuberk Toraks. 2005;53(4):394-6.
A seven-month-old girl with miliary tuberculosis (Tbc) admitted to hospital due to development of acute dyspnoea and cyanosis at the end of third month of anti-Tbc therapy. Pneumothorax was evident at right lung with the chest radiography. A chest tube placed under water seal was applied. The patient healed up and then discharged. One week later, the patient admitted to hospital again, with same complaints due to pneumothorax at the same hemithorax. Same treatment was applied to the patient. Anti-Tbc therapy was stopped at the end of 12th month. Although, pneumothorax is a rare life-threatening complication of miliary Tbc, it's not seen only on admission or soon after beginning of the therapy, but it can be seen several months later during treatment. We want to report this case. That is the first case in which pneumothorax developed during therapy of an infant with miliary Tbc.
一名七个月大的粟粒性肺结核女童在抗结核治疗第三个月末因出现急性呼吸困难和发绀入院。胸部X光检查显示右肺有明显气胸。放置了一根置于水封下的胸管。患者康复后出院。一周后,患者再次入院,因同一侧胸腔气胸出现相同症状。对患者进行了相同的治疗。在第12个月末停止抗结核治疗。虽然气胸是粟粒性肺结核罕见的危及生命的并发症,但它并非仅在入院时或治疗开始后不久出现,而是可能在治疗数月后出现。我们想报告此病例。这是首例在粟粒性肺结核婴儿治疗期间发生气胸的病例。