A case of chylothorax treated curatively with Sapylin, a streptococcus preparation.
Chylothorax is an uncommon disease where fatty fluid accumulates within the chest cavity. Conservative management, including repeated thoracentesis or pleurodesis, seems to be suitable to most cases. Herein, we present a case of efficacious pleurodesis by intrapleural injection of Sapylin, a streptococcus preparation, for the treatment of chylothorax. A 52-year-old non-smoking female farmer was diagnosed as idiopathic chylothorax after we ruled out possible causes including chest trauma, lymphoma, lung cancer, filariasis, tuberculosis, and etc. Two-time intra-thoracic injection of 3 Klinische Einheit (KE) Sapylin achieved rapid and effective control of chylothorax with no severe side effects. Sapylin may facilitate pleurodesis by producing a strong inflammatory response.
Xu
Zhi-hao
ZH
Department of Respiratory Diseases, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Wang
Chun-fu
CF
Zhang
Yue-qin
YQ
Shen
Hua-hao
HH
Xu
Feng
F
D001428:Bacterial Vaccines / Q000627:therapeutic use*; D001688:Biological Products / Q000627:therapeutic use*; D002916:Chylothorax / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D013291:Streptococcus / Q000737:chemistry*; D014057:Tomography, X-Ray Computed
D001428:Bacterial Vaccines; D001688:Biological Products; C569879:streptococcal preparation 722