Journal of Family Medicine and Primary Care (Jun 2023)

A case of tubercular empyema with pyopneumothorax

  • Srinivasulareddy Annareddy,
  • Gaurang Aurangabadkar,
  • Sumer S. Choudhary,
  • Ulhas Jadhav,
  • Shafee Khan,
  • Babaji Ghewade

DOI
https://doi.org/10.4103/jfmpc.jfmpc_2239_22
Journal volume & issue
Vol. 12, no. 6
pp. 1231 – 1233

Abstract

Read online

Pyopneumothorax is a common complication associated with tuberculosis, especially in patients with lung parenchymal cavitatory lesions. In this publication, we highlight the case of a 43-year-old female patient who presented with chief complaints of dry cough, left-sided chest pain, and dyspnea on exertion. An X-ray of the chest posteroanterior (PA) view, revealed a left-sided moderate pleural effusion with pneumothorax. Immediate intercostal chest drain (ICD) insertion was done and a pleural fluid cytology sample was sent which was suggestive of tubercular empyema and the patient was promptly initiated on anti-tubercular treatment to which she responded well and showed clinical and radiological improvements.

Keywords