Source: Annual Congress 2002 - Diagnosis of tuberculosis
Disease area: Respiratory infections, Thoracic oncology

Abstract

15 patients underwent videothoracoscopy (VTS) for pleural effusion (PI) of unidentified origin. All 15 were males aged from 19 to 38 and had spent from 6 to 18 months in jail. None of them previously had had tuberculosis(TB) history and in all of them lung X-Ray, bronchoscopy failed to reveal TB.In all the patients effusion and sputum smears by Ziehl-Neelsen, same as effusion and sputum Levenstein-Iensen cultures - were negative.
In 13 patients VTS was made under selective intubation, in 2 –under local anesthesia. In all of them fluid aspiration, division of adhesions and biopsy of demonstrative lesions of the costal pleura were made for further histologic examination and Levenstein-Iensen culture. In 14 patients (93.4%) TB was revealed during VTS and confirmed after histology in 13 of them (86.8%) and Levenstein-Iensen culture in 1(6.6%) with negative histology. In 1 patient (6.6%) TB was completely rejected after VTS and sample' examination. No major complications occur.
VTS enabled us to reveal the high rate of TB–caused PI among prisoners.

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Citations should be made in the following way:
K. B. Vladimirov, S. D. Kochorov, S. I. Sokolov, T. N. Tsuranova, V. A. Boikov (St-Petersburg, Russia). Videothoracoscopy in early diagnostics of tuberculosis of pleura in the prisoners of St- Petersburg region. Eur Respir J 2002; 20: Suppl. 38, 1067

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