Source: Annual Congress 2003 - Clinical features in tuberculosis - I
Disease area: Respiratory infections

Abstract

Tuberculous pleurisy is important in the group of exudatif pleurisy.We evaluated 105 cases with tuberculous pleurisy retrospectively,they were hospitalized in our clinic last three years.Female/male ratio was 11/94 and mean age was 32.6(range:15-68).The ages of 59 cases(56%),were under 30 years old.The most common symptom was chest pain(75.2%).Chest radiography detected parenchymal lesions in18 cases(17%) whereas of 52 cases who had CT,parenchymal lesions were detected in 27 cases(52%).Protein levels in pleural fluid were higher than 5g/dl in 78% of cases.Adenosine deaminase levels in pleural fluid were high in %80 of cases.PPD reactions was found positive in 43% of case.Sputum was studied in 52 cases;six patients whose ARB and culture results were positive whereas four patients had positive culture results.Pleural fluid ARB examination of all patients was negative whereas culture was positive only in 5% of patients.Cytological examination of pleural fluid revealed lymphocyte predominance in 81% of cases.81 patients had pleural biopsy and pathologic evaluation revealed tuberculosis in 59 of them.At the end of the treatment 24(23%) patients had pleural thickening.

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Citations should be made in the following way:
A. Mihmanli, F. Ozseker, A. Baran, F. Kucuker, S. Atik, E. Akkaya (Maltepe, Turkey). The retrospective evaluation of 105 cases with tuberculous pleurisy. Eur Respir J 2003; 22: Suppl. 45, 999

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