Kim Kyeong Jin, Park Dae Won, Choi Won Suk
Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Infect Chemother. 2014 Mar;46(1):50-3. doi: 10.3947/ic.2014.46.1.50. Epub 2014 Mar 21.
Chylothorax or chylous ascites is rare manifestation of tuberculosis. We report a case of simultaneous chylothorax and chylous ascites due to tuberculosis. A 17-year-old girl was admitted with fever, abdominal distention and dyspnea. Chest and abdominal computed tomography revealed bilateral pleural effusion, multifocal nodular consolidation on both lung fields and copious ascites and multiple necrotic lymphadenopathy in the abdominal cavity. Mycobacterium tuberculosis was isolated from sputum and pleural fluid. The patient was treated with anti-tuberculosis medication. Pleural effusion and ascites improved with the medication.
乳糜胸或乳糜性腹水是结核病的罕见表现。我们报告一例因结核病同时出现乳糜胸和乳糜性腹水的病例。一名17岁女孩因发热、腹胀和呼吸困难入院。胸部和腹部计算机断层扫描显示双侧胸腔积液、双肺野多发结节状实变、大量腹水以及腹腔内多发坏死性淋巴结病。痰和胸水培养分离出结核分枝杆菌。患者接受抗结核药物治疗。用药后胸腔积液和腹水有所改善。
