title: An unusual case of pseudochylothorax.
abstract: A 25-year-old male patient presented with right-sided pleuritic chest pain and pain in the ankle. Radiological investigations revealed a right sided pleural effusion, lytic lesion in spine D10 with paravertebral abscess. Pleural fluid analysis showed elevated lactate dehydrogenase, adenosine deaminase, increased triglycerides, cholesterol, and no chylomicrons. Hence, a diagnosis of pseudochylothorax secondary to tuberculosis was made. Pleural fluid was drained by tube thoracostomy, decortication was done to improve the lung function and patient was started on anti-tuberculosis treatment (ATT). Patient improved with ATT. Pseudochylous effusion or chyliform effusions are uncommon. <200 cases has been reported in the international literature. The possibility of tuberculosis has to be considered in diagnosis and treatment of such cases. Here, we present a case of tuberculous pseudochylous effusion.
authors.affiliation: Department of Pulmonary Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
authors.forename: M Padma
authors.initials: MP
authors.lastname: Priya
authors.affiliation: Department of Pulmonary Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
authors.forename: S
authors.initials: S
authors.lastname: Dharmic
authors.affiliation: Department of Pulmonary Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
authors.forename: Aparajeet
authors.initials: A
authors.lastname: Kar
authors.affiliation: Department of Pulmonary Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
authors.forename: V
authors.initials: V
authors.lastname: Suryanarayana
keywords: Anti-tuberculosis treatment; para-vertebral abscess; pseudochylothorax; tuberculous