Tuberculosis with necrotising pneumonia and hydropneumothorax

Case contributed by Dr Muna Mohammad Aljallaf


A 30 year old female presented to the emergency department with three months’ history of cough and two days' history of fever with loss of appetite. She was hemodynamically stable. On auscultation, there was no air entry on right side of the chest.

Patient Data

Age: 30 years
Gender: Female
  • right-sided hydropneumothorax.
  • right lung abscess.
  • left sided pulmonary miliary nodular shadows.

Case Discussion

A chest tube was inserted in the current case presented due to the fact that patient had necrotizing pneumonia complicated by large hydropneumothorax with plural line >2 cm from the chest wall and risk of developing respiratory impairment or tension pneumothorax. An analysis of the pleural effusion revealed exudative fluid and TB PCR direct detection test came positive for tuberculosis.

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Case information

rID: 46043
Case created: 19th Jun 2016
Last edited: 2nd Dec 2016
System: Chest
Inclusion in quiz mode: Included

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