Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites
Tuberculosis (TB) is a rare cause of chylothorax and chylous ascites. This is a case of simultaneous TB-chylothorax and chylous ascites in a 20-year-old patient who had been diagnosed with disseminated Multi-Drug Resistant (MDR) Tuberculosis two years ago. Abdominal distention with horseshoe-shaped...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=271;epage=274;aulast=Gada |
| _version_ | 1797775456675561472 |
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| author | Parth B Gada Rupali R Sachdev Waqar A Ansari Akash A Jadhav |
| author_facet | Parth B Gada Rupali R Sachdev Waqar A Ansari Akash A Jadhav |
| author_sort | Parth B Gada |
| collection | DOAJ |
| description | Tuberculosis (TB) is a rare cause of chylothorax and chylous ascites. This is a case of simultaneous TB-chylothorax and chylous ascites in a 20-year-old patient who had been diagnosed with disseminated Multi-Drug Resistant (MDR) Tuberculosis two years ago. Abdominal distention with horseshoe-shaped dullness was found on examination. Abdominal ultrasound revealed gross ascites and bilateral gross pleural effusion. Pleural fluid analysis was positive for chylomicrons and revealed elevated Protein, Albumin, ADA, and Triglyceride. GeneXpert was negative and no growth was seen on culture. Lymphoscintigraphy showed a normal ascent of radio tracer along bilateral lower limb. Lymphangiogram and thoracic ductogram showed multiple dilated lymphatic ducts in the bilateral internal iliac region with obstruction of lymphatic flow in the iliac group of nodes. Low-fat diet was given. No interventional radiological approach or surgical correction could be done for the patient. He died after one and half years with progressive swelling and emaciation. |
| first_indexed | 2024-03-12T22:36:00Z |
| format | Article |
| id | doaj.art-f1781369cfa1469ab5f60c8356df17f8 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-03-12T22:36:00Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-f1781369cfa1469ab5f60c8356df17f82023-07-21T12:45:12ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2023-01-0140327127410.4103/lungindia.lungindia_494_22Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascitesParth B GadaRupali R SachdevWaqar A AnsariAkash A JadhavTuberculosis (TB) is a rare cause of chylothorax and chylous ascites. This is a case of simultaneous TB-chylothorax and chylous ascites in a 20-year-old patient who had been diagnosed with disseminated Multi-Drug Resistant (MDR) Tuberculosis two years ago. Abdominal distention with horseshoe-shaped dullness was found on examination. Abdominal ultrasound revealed gross ascites and bilateral gross pleural effusion. Pleural fluid analysis was positive for chylomicrons and revealed elevated Protein, Albumin, ADA, and Triglyceride. GeneXpert was negative and no growth was seen on culture. Lymphoscintigraphy showed a normal ascent of radio tracer along bilateral lower limb. Lymphangiogram and thoracic ductogram showed multiple dilated lymphatic ducts in the bilateral internal iliac region with obstruction of lymphatic flow in the iliac group of nodes. Low-fat diet was given. No interventional radiological approach or surgical correction could be done for the patient. He died after one and half years with progressive swelling and emaciation.http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=271;epage=274;aulast=Gadachylothoraxchylous asciteslymphedemalymphoceletuberculosis |
| spellingShingle | Parth B Gada Rupali R Sachdev Waqar A Ansari Akash A Jadhav Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites Lung India chylothorax chylous ascites lymphedema lymphocele tuberculosis |
| title | Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
| title_full | Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
| title_fullStr | Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
| title_full_unstemmed | Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
| title_short | Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
| title_sort | scourge of tuberculosis a rare case of simultaneous chylothorax and chylous ascites |
| topic | chylothorax chylous ascites lymphedema lymphocele tuberculosis |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=271;epage=274;aulast=Gada |
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