title: Co-existent Ascariasis and Multiloculated Tuberculous Pleurisy Treated with Intrapleural Streptokinase.
abstract: This case describes a young male with pleuro-pulmonary tuberculosis having one-week history of fever and hemoptysis along with a multiloculated right sided exudative lymphocytic pleural effusion. His pulmonary diagnostic confusion was due to passage of adult Ascaris lumbricoides per orally but that was found to be of intestinal origin. Pleural tissue histopathology revealed necrotizing granulomatous inflammation and right upper lobe bronchial washings were positive for acid fast bacilli. His multiloculated pleural effusion was successfully resolved with intrapleural streptokinase injections via a 10 French pleural catheter. Treatment with class-I anti-tuberculous drugs led to complete clearance of remaining pleuro-pulmonary shadowing.
authors.affiliation: Department of Pulmonology, PGMI/Shaikh Zayed Hospital, Lahore.
authors.forename: Talha
authors.initials: T
authors.lastname: Mahmud
authors.affiliation: Department of Pulmonology, PGMI/Shaikh Zayed Hospital, Lahore.
authors.forename: Omer Muhammad
authors.initials: OM
authors.lastname: Naeem
mesh_terms: D000293:Adolescent; D001196:Ascariasis / Q000175:diagnosis / Q000188:drug therapy*; D060085:Coinfection / Q000175:diagnosis / Q000188:drug therapy; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000188:drug therapy*; D013300:Streptokinase / Q000008:administration & dosage*; D016896:Treatment Outcome; D014396:Tuberculosis, Pleural / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase