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Chylothorax as a Complication of Tuberculosis in the Setting of the Human Immunodeficiency Virus Infection
Arch Intern Med. 2001;161:2621.
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Chylothorax is an infrequent disorder associated most commonly with
neoplasm or trauma to the thoracic duct. Nontraumatic chylothorax is uncommon.
Several etiologies have been cited, of which tuberculosis is exceedingly rare.
Herein, we describe a patient who developed chylothorax as a complication
of pulmonary tuberculosis in the setting of the human immunodeficiency virus
infection.
Report of a Case
A 29-year-old African American male infected with human immunodeficiency
virus presented with progressive dyspnea of 2 weeks' duration associated with
a nonproductive cough, progressive weight loss, fever, and chills. The patient
was diagnosed as having active pulmonary tuberculosis 4 months prior to admission
and had received only 2 months of antituberculous therapy ending because of
noncompliance. On admission he appeared cachectic and tachypneic with an oral
temperature of 39°C and an arterial oxygen saturation of 97% in room air.
Chest examination revealed crackles and expiratory wheezes throughout the
lung fields. The right base was dull to . . . [Full Text of this Article]
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