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Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case
BACKGROUND: Patients with hemorrhagic pleural effusion who live in tuberculosis endemic areas are recommended to perform adenosine deaminase (ADA) test. CASE PRESENTATION: A Javanese 22-year-old male complained of shortness of breath and cough with phlegm for 1 week, and worsened 3 days before being...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808073/ https://www.ncbi.nlm.nih.gov/pubmed/35101716 http://dx.doi.org/10.1016/j.ijscr.2022.106800 |
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author | Wijaksono, Whendy Koesoemoprodjo, Winariani |
author_facet | Wijaksono, Whendy Koesoemoprodjo, Winariani |
author_sort | Wijaksono, Whendy |
collection | PubMed |
description | BACKGROUND: Patients with hemorrhagic pleural effusion who live in tuberculosis endemic areas are recommended to perform adenosine deaminase (ADA) test. CASE PRESENTATION: A Javanese 22-year-old male complained of shortness of breath and cough with phlegm for 1 week, and worsened 3 days before being admitted to the hospital. The X-ray results showed pleural effusion, and hemorrhagic pleural effusion examination showed an increase in lymphocytes (60.2%), lactate dehydrogenase/LDH (2624 U/L), and cell count (4584 cells/mm(3)), and the ADA test obtained 49 IU/L. The water-sealed drainage (WSD) was installed and first-line anti-tuberculosis drug (ATD) was given for 1 month. After showing improvement in the first month, the first-line ATD was continued until 6 months. DISCUSSION: Patients with hemorrhage pleural effusion who live in tuberculosis endemic areas are recommended to perform differential diagnosis of hemorrhage pleural effusion and pulmonary tuberculosis. The use of the first-line ATD in hemorrhagic pleural effusion and pulmonary tuberculosis needs to be evaluated in the first month to detect improvement, otherwise, the medication is stopped and other investigations are carried out. CONCLUSION: Successful management of hemorrhagic pleural effusion and pulmonary tuberculosis depends on early diagnosis. |
format | Online Article Text |
id | pubmed-8808073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88080732022-02-04 Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case Wijaksono, Whendy Koesoemoprodjo, Winariani Int J Surg Case Rep Case Report BACKGROUND: Patients with hemorrhagic pleural effusion who live in tuberculosis endemic areas are recommended to perform adenosine deaminase (ADA) test. CASE PRESENTATION: A Javanese 22-year-old male complained of shortness of breath and cough with phlegm for 1 week, and worsened 3 days before being admitted to the hospital. The X-ray results showed pleural effusion, and hemorrhagic pleural effusion examination showed an increase in lymphocytes (60.2%), lactate dehydrogenase/LDH (2624 U/L), and cell count (4584 cells/mm(3)), and the ADA test obtained 49 IU/L. The water-sealed drainage (WSD) was installed and first-line anti-tuberculosis drug (ATD) was given for 1 month. After showing improvement in the first month, the first-line ATD was continued until 6 months. DISCUSSION: Patients with hemorrhage pleural effusion who live in tuberculosis endemic areas are recommended to perform differential diagnosis of hemorrhage pleural effusion and pulmonary tuberculosis. The use of the first-line ATD in hemorrhagic pleural effusion and pulmonary tuberculosis needs to be evaluated in the first month to detect improvement, otherwise, the medication is stopped and other investigations are carried out. CONCLUSION: Successful management of hemorrhagic pleural effusion and pulmonary tuberculosis depends on early diagnosis. Elsevier 2022-01-26 /pmc/articles/PMC8808073/ /pubmed/35101716 http://dx.doi.org/10.1016/j.ijscr.2022.106800 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Wijaksono, Whendy Koesoemoprodjo, Winariani Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title | Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title_full | Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title_fullStr | Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title_full_unstemmed | Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title_short | Hemorrhagic pleural effusion in Indonesian male with pulmonary tuberculosis: A rare case |
title_sort | hemorrhagic pleural effusion in indonesian male with pulmonary tuberculosis: a rare case |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808073/ https://www.ncbi.nlm.nih.gov/pubmed/35101716 http://dx.doi.org/10.1016/j.ijscr.2022.106800 |
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