Mermigkis Charalampos, Kopanakis Antony, Psathakis Kostas, Karagiannidis Napoleon, Kastanakis Manolis, Patentalakis Michael, Amfilochiou Anastasia, Patentalakis Georgios, Polychronopoulos Vlassis
Department of Pneumonology, Army General Hospital, Athens, Greece.
Cases J. 2009 Jul 31;2:8707. doi: 10.4076/1757-1626-2-8707.
We report a case of an immunocompetent 18-year-old man with a massive hemorrhagic, exudative, lymphocytic pleural effusion. Blind transthoracic pleural biopsy showed granuloma formation, while the pleural fluid culture was positive for Mycobacterium tuberculosis, confirming the diagnosis of primary tuberculous pleuritis. A massive hemorrhagic pleural effusion is extremely rare in tuberculosis, but tuberculosis is a very protean disease and should always be included in the differential diagnosis of pleural effusions.
我们报告一例18岁免疫功能正常的男性，患有大量出血性、渗出性淋巴细胞性胸腔积液。经胸盲式胸膜活检显示有肉芽肿形成，而胸水培养结核分枝杆菌呈阳性，确诊为原发性结核性胸膜炎。大量出血性胸腔积液在结核病中极为罕见，但结核病是一种表现多样的疾病，在胸腔积液的鉴别诊断中应始终予以考虑。
