A case of tubercular empyema with pyopneumothorax.

Annareddy, Srinivasulareddy; Aurangabadkar, Gaurang; Choudhary, Sumer S; Jadhav, Ulhas; Khan, Shafee; Ghewade, Babaji · J Family Med Prim Care · 2023

case_report · Level V

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Abstract

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.