Journal of Clinical and Scientific Research

CASE REPORT
Year
: 2018  |  Volume : 7  |  Issue : 3  |  Page : 145--148

Left-sided chylothorax due to tuberculosis in an adult


K Gowrinath, KR R. Umamahesh 
 Department of Pulmonary Medicine, Apollo Speciality Hospital, Nellore, Andhra Pradesh, India

Correspondence Address:
K Gowrinath
Department of Pulmonary Medicine, Apollo Speciality Hospital, Nellore - 524 004, Andhra Pradesh,
India

A spontaneous chylothorax is rare. Chylothorax as a manifestation of tuberculosis (TB) is very rare even in countries where TB is endemic. We report a case of left sided chylothorax due to TB in a 50-year-old male alcoholic who presented with hypotension and hyponatremia. TB was diagnosed through histopathological examination of mediastinal lymph node biopsy. Initial conservative treatment with four days of tube thoracostomy drainage was effective but chylothorax recurred one week later after starting anti-TB drugs. Resolution of chylothorax was achieved with repeat tube thoracostomy drainage for four weeks and daily anti-TB therapy with isoniazid, ethambutol, rifampicin and pyrazinamide for two months followed by daily isoniazid and rifampicin for four months. Patient recovered well and chylothorax did not recur during the follow up period of three months.


How to cite this article:
Gowrinath K, R. Umamahesh K R. Left-sided chylothorax due to tuberculosis in an adult.J Clin Sci Res 2018;7:145-148


How to cite this URL:
Gowrinath K, R. Umamahesh K R. Left-sided chylothorax due to tuberculosis in an adult. J Clin Sci Res [serial online] 2018 [cited 2022 Jan 28 ];7:145-148
Available from: https://www.jcsr.co.in/article.asp?issn=2277-5706;year=2018;volume=7;issue=3;spage=145;epage=148;aulast=Gowrinath;type=0