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...

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Main Authors: M Padma Priya, S Dharmic, Aparajeet Kar, V Suryanarayana
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
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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.
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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
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