Pleurite tubercolare: Una diagnosi non sempre immediata

Translated title of the contribution: Tuberculous pleuritis: A not always immediate diagnosis

Silvia Nider, Giulia Gortani, Alessandro Ventura

Research output: Contribution to journalArticle

Abstract

Tuberculous pleuritis usually presents as an acute illness with fever, cough and pleuritic chest pain. The pleural fluid is an exudate that usually shows predominant lymphocytes. Pleural fluid cultures are positive for Mycobacterium tuberculosis in less than 40% and sputum is virtually always negative. In questionable cases the diagnosis can be established by demonstrating granulomas or organisms on tissue specimens obtained via needle biopsy of the pleura or thoracoscopy. The chemotherapy for tuberculous pleuritis is the same as that for pulmonary tuberculosis. The present paper reports a case of a 17-year-old girl with pleural effusion, without parenchymal disease. Tuberculin skin test, bacterial and AFB cultures as well as cytology are negative. The diagnosis of tuberculous pleural effusion is established by demonstrating granuloma in the parietal pleura and by a positive AFB stain.

Original languageItalian
Pages (from-to)642-646
Number of pages5
JournalMedico e Bambino
Volume33
Issue number10
Publication statusPublished - Dec 1 2014

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Pleurisy
Pleura
Pleural Effusion
Granuloma
Thoracoscopy
Tuberculin Test
Needle Biopsy
Exudates and Transudates
Skin Tests
Sputum
Chest Pain
Pulmonary Tuberculosis
Mycobacterium tuberculosis
Cough
Cell Biology
Fever
Coloring Agents
Lymphocytes
Drug Therapy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pleurite tubercolare : Una diagnosi non sempre immediata. / Nider, Silvia; Gortani, Giulia; Ventura, Alessandro.

In: Medico e Bambino, Vol. 33, No. 10, 01.12.2014, p. 642-646.

Research output: Contribution to journalArticle

Nider, S, Gortani, G & Ventura, A 2014, 'Pleurite tubercolare: Una diagnosi non sempre immediata', Medico e Bambino, vol. 33, no. 10, pp. 642-646.
Nider, Silvia ; Gortani, Giulia ; Ventura, Alessandro. / Pleurite tubercolare : Una diagnosi non sempre immediata. In: Medico e Bambino. 2014 ; Vol. 33, No. 10. pp. 642-646.
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