Chylothorax as a complication of pulmonary tuberculosis in children

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dc.contributor.authorGrobbelaar M.
dc.contributor.authorAndronikou S.
dc.contributor.authorGoussard P.
dc.contributor.authorTheron S.
dc.contributor.authorMapukata A.
dc.contributor.authorGeorge R.
dc.date.accessioned2011-05-15T16:17:41Z
dc.date.available2011-05-15T16:17:41Z
dc.date.issued2008
dc.description.abstractChylothorax is a rare clinical entity characterized by a milky white aspirate with increased triglyceride levels. The commonest aetiology is malignancy and trauma. Pulmonary tuberculosis is an extremely rare cause of chylothorax. Two children with chylothorax and pulmonary tuberculosis are described. One child had bilateral and the other unilateral chylous effusions. Extensive mediastinal and hilar lymphadenopathy was demonstrated. Diseased lymph nodes may infiltrate other intrathoracic structures such as the thoracic duct, and they can also obstruct the cisterna chyli and thoracic duct. A possible explanation for the development of a chylothorax in our patients is obstruction of the thoracic duct by tuberculous lymphadenopathy with subsequent increase in pressure in the surrounding lymphatic system and leaking of chyle into the pleural space. © 2007 Springer-Verlag.
dc.description.versionArticle
dc.identifier.citationPediatric Radiology
dc.identifier.citation38
dc.identifier.citation2
dc.identifier.issn03010449
dc.identifier.other10.1007/s00247-007-0634-7
dc.identifier.urihttp://hdl.handle.net/10019.1/14327
dc.subjectarticle
dc.subjectbacterium culture
dc.subjectbacterium identification
dc.subjectcase report
dc.subjectchylothorax
dc.subjectclinical feature
dc.subjectcomputer assisted tomography
dc.subjectdiagnostic imaging
dc.subjecthuman
dc.subjectimage analysis
dc.subjectlung tuberculosis
dc.subjectlymphadenopathy
dc.subjectmale
dc.subjectmediastinum lymph node
dc.subjectMycobacterium tuberculosis
dc.subjectpleura effusion
dc.subjectpreschool child
dc.subjectpriority journal
dc.subjectsymptom
dc.subjectthoracic duct
dc.subjecttuberculous lymphadenitis
dc.subjecttuberculous meningitis
dc.subjectChild, Preschool
dc.subjectChylothorax
dc.subjectHumans
dc.subjectInfant
dc.subjectMale
dc.subjectTomography, X-Ray Computed
dc.subjectTuberculosis, Pulmonary
dc.titleChylothorax as a complication of pulmonary tuberculosis in children
dc.typeArticle
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