Co-existent Ascariasis and Multiloculated Tuberculous Pleurisy Treated with Intrapleural Streptokinase

This case describes a young male with pleuro-pulmonary tuberculosis having one-week history of fever and hemoptysis along with a multiloculated right sided exudative lymphocytic pleural effusion. His pulmonary diagnostic confusion was due to passage of adult Ascaris lumbricoides per orally but that...

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Bibliographic Details
Published inJournal of the College of Physicians and Surgeons--Pakistan Vol. 25 Suppl 2; pp. S105 - S107
Main Authors Mahmud, Talha, Naeem, Omer Muhammad
Format Journal Article
LanguageEnglish
Published Pakistan 01.10.2015
Subjects
Adolescent
Ascariasis - diagnosis
Ascariasis - drug therapy
Coinfection - diagnosis
Coinfection - drug therapy
Fibrinolytic Agents - therapeutic use
Humans
Male
Pleural Effusion - drug therapy
Streptokinase - administration & dosage
Treatment Outcome
Tuberculosis, Pleural - diagnosis
Tuberculosis, Pleural - drug therapy
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Summary:This case describes a young male with pleuro-pulmonary tuberculosis having one-week history of fever and hemoptysis along with a multiloculated right sided exudative lymphocytic pleural effusion. His pulmonary diagnostic confusion was due to passage of adult Ascaris lumbricoides per orally but that was found to be of intestinal origin. Pleural tissue histopathology revealed necrotizing granulomatous inflammation and right upper lobe bronchial washings were positive for acid fast bacilli. His multiloculated pleural effusion was successfully resolved with intrapleural streptokinase injections via a 10 French pleural catheter. Treatment with class-I anti-tuberculous drugs led to complete clearance of remaining pleuro-pulmonary shadowing.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1681-7168
DOI:10.2015/JCPSP.S105S107