Abstract

A CASE REPORT ON TUBERCULAR PYOTHORAX

Sujit Kumar Sah*, Kotha Ashok Gupta, Varun Lal, Anusha Ramatati and Singamsetty Sravani

ABSTRACT

Pyothorax also called as empyema, which is defined as a collection of pus in the pleural space between both the visceral and parietal space. It is also called as empyema thoracis, characterized by an accumulation of septic exudate in the thoracic cavity. Tuberculosis (TB) of the lung is a chronic, active infection may also lead to formation of pleural effusion or empyema. A 22 years male patient got admitted with complaints of cough which was insidious onset progressive in nature & productive type since 7 days, breathlessness since 7 days. Due to massive pleural effusion on left side of lungs on chest X-ray and pus appearance along with AFB (+ve) on plural fluid analysis confirms left tubercular Pyothorax. As patient was suffering from TB, Cat-I ATT along with second line therapy Amikacin was prescribed. Other drugs like Ceftriaxone+salbutamol, Azithromycin and metronidazole were also prescribed as a supportive and symptomatic treatment to treat others complication and slow down progression. After the treatment chest-X- ray which shows pyothorax got resolved. The main goal of this study was to promote the earlier proper diagnosis of TB, timely proper anti-Tb therapy needed to treat tubercular pyothorax.

Keywords: Tubercular pyothorax, Emphyema, Pus drainage, Cat-I ATT.