Acta medica portuguesa · 2015
[Bronchopleurocutaneous Fistula: A Rare Complication of Pulmonary Tuberculosis].
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Montez Ana Sofia José, Coutinho Daniel, Velez Jorge, Freitas Filomena, Oliveira Célia
Аннотация
INTRODUCTION: Multiple complications can occur in tuberculosis. Bronchopleurocutaneous fistula is a pathological communication between bronchus, pleural space and skin.
CLINICAL CASE: We present a 47 year-old male patient, schizophrenic, who presented with complaints of pleuritic chest pain, cough and weight loss. The patient was cachectic with purulent drainage from an orifice in the antero-lateral left chest wall. In this drainage acid-fast bacilli were identified and chest radiograph showed bilateral infiltrates. He was admitted to the Infectious Diseases Department with the diagnosis of fistulized pulmonary tuberculosis, confirmed by visualization of acid-fast bacilli, positive polymerase chain reaction and cultures for Mycobacterium tuberculosis in the sputum. The patient was started on quadruple antituberculosis therapy and had a favorable outcome.
CONCLUSIONS: Bronchopleurocutaneous fistula is a rare complication of pulmonary tuberculosis. Despite pulmonary tuberculosis being a common condition in our country, the rarity of this complication prompted the authors to present it.
CLINICAL CASE: We present a 47 year-old male patient, schizophrenic, who presented with complaints of pleuritic chest pain, cough and weight loss. The patient was cachectic with purulent drainage from an orifice in the antero-lateral left chest wall. In this drainage acid-fast bacilli were identified and chest radiograph showed bilateral infiltrates. He was admitted to the Infectious Diseases Department with the diagnosis of fistulized pulmonary tuberculosis, confirmed by visualization of acid-fast bacilli, positive polymerase chain reaction and cultures for Mycobacterium tuberculosis in the sputum. The patient was started on quadruple antituberculosis therapy and had a favorable outcome.
CONCLUSIONS: Bronchopleurocutaneous fistula is a rare complication of pulmonary tuberculosis. Despite pulmonary tuberculosis being a common condition in our country, the rarity of this complication prompted the authors to present it.