[Spontaneous bilateral chylothorax revealing disseminated tuberculosis complicated by massive pulmonary embolism].
We report a case of bilateral chylothorax revealing diffuse tuberculosis. The clinical presentation was complicated by the apparition of a massive acute pulmonary embolism and an acute respiratory distress syndrome. Mycobacterium tuberculosis was isolated from the cultures of the bronchi aspiration of the bronchoscopic examination. With antituberculous chemotherapy, the course of the chylothorax was satisfactory.
Deniel
F
F
Service de Pneumologie et Réanimation du Pr. Rochemaure, Hôpital de l'Hôtel-Dieu, Paris.
Rabbat
A
A
Laaban
J P
JP
D000368:Aged; D000792:Angiography; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D002916:Chylothorax / Q000209:etiology*; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000209:etiology; D015912:Thrombolytic Therapy; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging
D000904:Antibiotics, Antitubercular; D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator