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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 2, 2020

Copyright © Journal of Chest Surgery.

Tuberculosis-Infected Giant Bulla Treated by Percutaneous Drainage Followed by Obliteration of the Pulmonary Cavity Using Talc

Jeongwon Heo M.D.1,2 , So Hyeon Bak M.D., Ph.D.3 , Se Min Ryu M.D., Ph.D.4 , Yoonki Hong M.D.1,2

1Department of Internal Medicine, Kangwon National University Hospital; Departments of 2Internal Medicine, 3Radiology, and 4Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Chuncheon, Korea

Correspondence to:Yoonki Hong
Tel 82-33-258-9364
Fax 82-33-258-2404
E-mail h-doctor@hanmail.net
ORCID
https://orcid.org/0000-0002-1607-6777

Received: August 11, 2020; Revised: October 26, 2020; Accepted: October 26, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Tuberculosis (TB)-infected giant bullae are rare. A 55-year-old man was referred when an infected bulla did not respond to empirical treatment. Computed tomography showed a giant bulla in the right upper lobe with an air-fluid level and surrounding infiltrate. Sputum culture, acid-fast bacilli (AFB) stain, and polymerase chain reaction (PCR) for TB were negative. Percutaneous drainage of the bullous fluid was performed. AFB stain and PCR were positive in the drained fluid. The patient was given anti-TB drugs and later underwent obliteration of the pulmonary cavity using talc. To summarize, we report a patient with a TB-infected giant bulla that was treated successfully with anti-TB drugs and obliteration of the pulmonary cavity using talc.

Keywords: Bullae, Tuberculosis

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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 2, 2020

Copyright © Journal of Chest Surgery.

Tuberculosis-Infected Giant Bulla Treated by Percutaneous Drainage Followed by Obliteration of the Pulmonary Cavity Using Talc

Jeongwon Heo M.D.1,2 , So Hyeon Bak M.D., Ph.D.3 , Se Min Ryu M.D., Ph.D.4 , Yoonki Hong M.D.1,2

1Department of Internal Medicine, Kangwon National University Hospital; Departments of 2Internal Medicine, 3Radiology, and 4Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Chuncheon, Korea

Correspondence to:Yoonki Hong
Tel 82-33-258-9364
Fax 82-33-258-2404
E-mail h-doctor@hanmail.net
ORCID
https://orcid.org/0000-0002-1607-6777

Received: August 11, 2020; Revised: October 26, 2020; Accepted: October 26, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Tuberculosis (TB)-infected giant bullae are rare. A 55-year-old man was referred when an infected bulla did not respond to empirical treatment. Computed tomography showed a giant bulla in the right upper lobe with an air-fluid level and surrounding infiltrate. Sputum culture, acid-fast bacilli (AFB) stain, and polymerase chain reaction (PCR) for TB were negative. Percutaneous drainage of the bullous fluid was performed. AFB stain and PCR were positive in the drained fluid. The patient was given anti-TB drugs and later underwent obliteration of the pulmonary cavity using talc. To summarize, we report a patient with a TB-infected giant bulla that was treated successfully with anti-TB drugs and obliteration of the pulmonary cavity using talc.

Keywords: Bullae, Tuberculosis

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