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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298829/ https://www.ncbi.nlm.nih.gov/pubmed/37148027 http://dx.doi.org/10.4103/lungindia.lungindia_494_22 |
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author | Gada, Parth B. Sachdev, Rupali R. Ansari, Waqar A. Jadhav, Akash A. |
author_facet | Gada, Parth B. Sachdev, Rupali R. Ansari, Waqar A. Jadhav, Akash A. |
author_sort | Gada, Parth B. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-10298829 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-102988292023-06-28 Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites Gada, Parth B. Sachdev, Rupali R. Ansari, Waqar A. Jadhav, Akash A. Lung India Case Report 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. Wolters Kluwer - Medknow 2023 2023-04-28 /pmc/articles/PMC10298829/ /pubmed/37148027 http://dx.doi.org/10.4103/lungindia.lungindia_494_22 Text en Copyright: © 2023 Indian Chest Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Gada, Parth B. Sachdev, Rupali R. Ansari, Waqar A. Jadhav, Akash A. Scourge of tuberculosis: A rare case of simultaneous chylothorax and chylous ascites |
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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298829/ https://www.ncbi.nlm.nih.gov/pubmed/37148027 http://dx.doi.org/10.4103/lungindia.lungindia_494_22 |
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