Weekly Chest CasesArchive of Old Cases

Case No : 33 Date 1998-06-15

  • Courtesy of Jae-Woo Song, M.D, Jung-Gi Im, M.D. / Seoul City Boramae Hospital, Seoul National University Hospital
  • Age/Sex 64 / F
  • Chief Complaintpuruluent sputum and cough for several years
  • Figure 1
  • Figure 2
  • Figure 3

Chest PA

Diagnosis With Brief Discussion

Diagnosis
Chronic tuberculous empyema with bronchopleural fistula, Rt. & Cavitary tuberculosis with bronchogenic spread, left lung
Radiologic Findings
Brief Review
CT scans of the patient with longstanding tuberculous empyema with BPF show emptied empyema sac with caseation material on its wall and active parenchymal tuberculosis.
BPF associated with tuberculosis usually follows trauma or surgical procedure, whereas in the past many were the consequence of artificial pneumothorax therapy. The fistula can also occur spontaneously, presumably because the tuberculous process establishes an open pathway between bronchus and pleura.
References
Keywords
Pleura, Infection, Bacterial infection, tuberculosis, Chronic tuberculous empyema with bronchopleural fistula, Rt. & Cavitary tuberculosis with bronchogenic spread, left lung

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