title: Medical versus surgical treatment of a primary tuberculous pleural peel.
abstract: The role and timing of surgical decortication in the management of a primary tuberculous pleural peel remains controversial. The present report describes the case of a young man with an extensive primary tuberculous pleural peel that responded dramatically to medical therapy. A serious attempt at surgical decortication three weeks into antituberculous drug therapy may have removed some compressive aspects of the peel, facilitating lung expansion. However, it had almost no measurable impact on the size of peel and was technically very difficult. Response to treatment was measured anatomically (computed tomography scans) and physiologically (pulmonary function tests).
authors.affiliation: University of Alberta Hospitals, Edmonton, Canada. richard.long@ualberta.ca
authors.forename: R
authors.initials: R
authors.lastname: Long
authors.forename: A
authors.initials: A
authors.lastname: Fanning
authors.forename: C
authors.initials: C
authors.lastname: McNamee
authors.forename: J
authors.initials: J
authors.lastname: Barrie
authors.forename: L
authors.initials: L
authors.lastname: Puttagunta
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed; D014396:Tuberculosis, Pleural / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery
chemical_list: D000995:Antitubercular Agents