An unusual case of pseudochylothorax
A 25-year-old male patient presented with right-sided pleuritic chest pain and pain in the ankle. Radiological investigations revealed a right sided pleural effusion, lytic lesion in spine D10 with paravertebral abscess. Pleural fluid analysis showed elevated lactate dehydrogenase, adenosine deamina...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
Series: | Journal of Pharmacy and Bioallied Sciences |
Subjects: | |
Online Access: | http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2015;volume=7;issue=5;spage=80;epage=82;aulast=Priya |
_version_ | 1818996145831018496 |
---|---|
author | M Padma Priya S Dharmic Aparajeet Kar V Suryanarayana |
author_facet | M Padma Priya S Dharmic Aparajeet Kar V Suryanarayana |
author_sort | M Padma Priya |
collection | DOAJ |
description | A 25-year-old male patient presented with right-sided pleuritic chest pain and pain in the ankle. Radiological investigations revealed a right sided pleural effusion, lytic lesion in spine D10 with paravertebral abscess. Pleural fluid analysis showed elevated lactate dehydrogenase, adenosine deaminase, increased triglycerides, cholesterol, and no chylomicrons. Hence, a diagnosis of pseudochylothorax secondary to tuberculosis was made. Pleural fluid was drained by tube thoracostomy, decortication was done to improve the lung function and patient was started on anti-tuberculosis treatment (ATT). Patient improved with ATT. Pseudochylous effusion or chyliform effusions are uncommon. <200 cases has been reported in the international literature. The possibility of tuberculosis has to be considered in diagnosis and treatment of such cases. Here, we present a case of tuberculous pseudochylous effusion. |
first_indexed | 2024-12-20T21:25:05Z |
format | Article |
id | doaj.art-543cae59de9d42b98f357257e34f52bf |
institution | Directory Open Access Journal |
issn | 0975-7406 0976-4879 |
language | English |
last_indexed | 2024-12-20T21:25:05Z |
publishDate | 2015-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Pharmacy and Bioallied Sciences |
spelling | doaj.art-543cae59de9d42b98f357257e34f52bf2022-12-21T19:26:11ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74060976-48792015-01-0175808210.4103/0975-7406.155814An unusual case of pseudochylothoraxM Padma PriyaS DharmicAparajeet KarV SuryanarayanaA 25-year-old male patient presented with right-sided pleuritic chest pain and pain in the ankle. Radiological investigations revealed a right sided pleural effusion, lytic lesion in spine D10 with paravertebral abscess. Pleural fluid analysis showed elevated lactate dehydrogenase, adenosine deaminase, increased triglycerides, cholesterol, and no chylomicrons. Hence, a diagnosis of pseudochylothorax secondary to tuberculosis was made. Pleural fluid was drained by tube thoracostomy, decortication was done to improve the lung function and patient was started on anti-tuberculosis treatment (ATT). Patient improved with ATT. Pseudochylous effusion or chyliform effusions are uncommon. <200 cases has been reported in the international literature. The possibility of tuberculosis has to be considered in diagnosis and treatment of such cases. Here, we present a case of tuberculous pseudochylous effusion.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2015;volume=7;issue=5;spage=80;epage=82;aulast=PriyaAnti-tuberculosis treatmentpara-vertebral abscesspseudochylothoraxtuberculous |
spellingShingle | M Padma Priya S Dharmic Aparajeet Kar V Suryanarayana An unusual case of pseudochylothorax Journal of Pharmacy and Bioallied Sciences Anti-tuberculosis treatment para-vertebral abscess pseudochylothorax tuberculous |
title | An unusual case of pseudochylothorax |
title_full | An unusual case of pseudochylothorax |
title_fullStr | An unusual case of pseudochylothorax |
title_full_unstemmed | An unusual case of pseudochylothorax |
title_short | An unusual case of pseudochylothorax |
title_sort | unusual case of pseudochylothorax |
topic | Anti-tuberculosis treatment para-vertebral abscess pseudochylothorax tuberculous |
url | http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2015;volume=7;issue=5;spage=80;epage=82;aulast=Priya |
work_keys_str_mv | AT mpadmapriya anunusualcaseofpseudochylothorax AT sdharmic anunusualcaseofpseudochylothorax AT aparajeetkar anunusualcaseofpseudochylothorax AT vsuryanarayana anunusualcaseofpseudochylothorax AT mpadmapriya unusualcaseofpseudochylothorax AT sdharmic unusualcaseofpseudochylothorax AT aparajeetkar unusualcaseofpseudochylothorax AT vsuryanarayana unusualcaseofpseudochylothorax |