自发性乳糜胸揭示纵隔及腹部淋巴结结核。

Spontaneous chylothorax revealing a mediastinal and abdominal lymph node tuberculosis.

作者信息

Amar Jihen Ben, Zaibi Haifa, Dahri Besma, Aouina Hichem

机构信息

Charles Nicolle Hospital, Pulmonology Department, Tunisia.

出版信息

Indian J Tuberc. 2017 Apr;64(2):141-143. doi: 10.1016/j.ijtb.2016.06.001. Epub 2016 Dec 15.

DOI:10.1016/j.ijtb.2016.06.001

PMID:28410698

Abstract

Chylothorax is a rare manifestation of tuberculosis. We report a case of spontaneous chylothorax due to tuberculosis. A 62-year-old woman was admitted with fever, chest pain and dyspnea. Chest and abdominal computed tomography revealed a fluid collection with necrotic mediastinal and abdominal lymph nodes. Biopsy of lymph nodes by mediastinoscopy. The patient was treated with anti-tuberculosis medication. He is clinically improved and his pleural effusion also completely resolved.

摘要

乳糜胸是结核病的一种罕见表现。我们报告一例因结核病导致的自发性乳糜胸病例。一名62岁女性因发热、胸痛和呼吸困难入院。胸部和腹部计算机断层扫描显示有液体积聚以及纵隔和腹部坏死淋巴结。通过纵隔镜对淋巴结进行活检。该患者接受了抗结核药物治疗。他的临床症状有所改善，胸腔积液也完全消退。