Ángel Del Cueto-Aguilera, Héctor Raúl Ibarra-Sifuentes, Guillermo Delgado-García, Alexandro Atilano-Díaz, Dionicio Ángel Galarza-Delgado
{"title":"1例PCR检测阴性的艾滋病患者因结核分枝杆菌引起乳糜胸和乳糜腹水。","authors":"Ángel Del Cueto-Aguilera, Héctor Raúl Ibarra-Sifuentes, Guillermo Delgado-García, Alexandro Atilano-Díaz, Dionicio Ángel Galarza-Delgado","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Mycobacterium tuberculosis as a cause of both\nchylothorax and chylous ascites is extremely rare. A\n46-year-old non-adherent woman with AIDS and\npulmonary tuberculosis presented to our clinic with\ndyspnea, pleuritic chest and abdominal pain. Chest x-ray\ndemonstrated a left pleural effusion. Contrast-enhanced\nCT showed free abdominal fluid. Thoracentesis revealed\na chylothorax, and paracentesis a chylous ascites. AFB\nstaining and PCR for M. tuberculosis (GeneXpert MTB/\nRIF Assay) were both negative. Malignant cells cytology\nalso tested negative. Tuberculosis could account for\nboth chylothorax and chylousascites, as she clinically\nimproved when antituberculous drugs were resumed.\nEven when PCR tested negative, M. tuberculosis should\nbe included in the differential diagnosis because\nof its therapeutic and prognostic implications.\nKeywords: Chylothorax, chylous ascites,\nMycobacterium tuberculosis, acquired\nimmunodeficiency syndrom, antituberculous drugs.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"65 3","pages":"161-3"},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Chylothorax and chylous ascites due to Mycobacterium tuberculosis in an AIDS patient whose PCR tested negative.\",\"authors\":\"Ángel Del Cueto-Aguilera, Héctor Raúl Ibarra-Sifuentes, Guillermo Delgado-García, Alexandro Atilano-Díaz, Dionicio Ángel Galarza-Delgado\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Mycobacterium tuberculosis as a cause of both\\nchylothorax and chylous ascites is extremely rare. A\\n46-year-old non-adherent woman with AIDS and\\npulmonary tuberculosis presented to our clinic with\\ndyspnea, pleuritic chest and abdominal pain. Chest x-ray\\ndemonstrated a left pleural effusion. Contrast-enhanced\\nCT showed free abdominal fluid. Thoracentesis revealed\\na chylothorax, and paracentesis a chylous ascites. AFB\\nstaining and PCR for M. tuberculosis (GeneXpert MTB/\\nRIF Assay) were both negative. Malignant cells cytology\\nalso tested negative. Tuberculosis could account for\\nboth chylothorax and chylousascites, as she clinically\\nimproved when antituberculous drugs were resumed.\\nEven when PCR tested negative, M. tuberculosis should\\nbe included in the differential diagnosis because\\nof its therapeutic and prognostic implications.\\nKeywords: Chylothorax, chylous ascites,\\nMycobacterium tuberculosis, acquired\\nimmunodeficiency syndrom, antituberculous drugs.</p>\",\"PeriodicalId\":20345,\"journal\":{\"name\":\"Pneumologia\",\"volume\":\"65 3\",\"pages\":\"161-3\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pneumologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pneumologia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Chylothorax and chylous ascites due to Mycobacterium tuberculosis in an AIDS patient whose PCR tested negative.
Mycobacterium tuberculosis as a cause of both
chylothorax and chylous ascites is extremely rare. A
46-year-old non-adherent woman with AIDS and
pulmonary tuberculosis presented to our clinic with
dyspnea, pleuritic chest and abdominal pain. Chest x-ray
demonstrated a left pleural effusion. Contrast-enhanced
CT showed free abdominal fluid. Thoracentesis revealed
a chylothorax, and paracentesis a chylous ascites. AFB
staining and PCR for M. tuberculosis (GeneXpert MTB/
RIF Assay) were both negative. Malignant cells cytology
also tested negative. Tuberculosis could account for
both chylothorax and chylousascites, as she clinically
improved when antituberculous drugs were resumed.
Even when PCR tested negative, M. tuberculosis should
be included in the differential diagnosis because
of its therapeutic and prognostic implications.
Keywords: Chylothorax, chylous ascites,
Mycobacterium tuberculosis, acquired
immunodeficiency syndrom, antituberculous drugs.