Skip to main content Skip to main navigation menu Skip to site footer

Persistent secondary spontaneous pneumothorax as a complication of tuberculosis infection: a case report

Abstract

Introduction: A pneumothorax is a collection of air outside the lung contained within the pleural cavity. Primary spontaneous pneumothorax (PSP) and secondary spontaneous pneumothorax (SSP) are two types of spontaneous pneumothorax that differ due to the underlying illness. If the patient has a history of pulmonary disease, including tuberculosis infection, SSP may be present. Chest X-rays, chest ultrasonography, and CT scans are imaging tests that can be used to diagnose pneumothorax. We report a case of a 20-year-old man with persistent secondary spontaneous pneumothorax as a complication of tuberculosis infection.

Case description: A 20-year-old man complained of shortness of breath two weeks before being admitted to the hospital. He had a story of a TB infection. A chest X-ray and a CT scan were used to assess the patient. The pneumothorax is seen with the sign of reactive old tuberculosis. The surgeon inserted a chest tube drainage to empty the pneumothorax. However, following the assessment, the pneumothorax grew even larger than before.

Conclusion: Clinical evaluation should probably be the key determinant of the care strategy and assist with the initial diagnosis. Imaging modalities can help confirm a pneumothorax diagnosis and provide information about the extent of the pneumothorax.

References

  1. McKnight CL, Burns B. Pneumothorax. in: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available at: https://www.ncbi.nlm.nih.gov/books/NBK441885/ (Accessed on December 15, 2021)
  2. MacDuff A, Arnold A, Harvey J. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65(SUPPL. 2).
  3. Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir Rev. 2010;19(117):217-219.
  4. Nam SH, Kim KW, Kim SW, Kim SW, Hong JM, Kim D. Fate of spontaneous pneumothorax from middle to old age: How to overcome an irritating recurrence? J Thorac Dis. 2019;11(11).
  5. Choudhari O, Spalgais S, Ojha U, Murar A, Verma A. Miliary tuberculosis with bilateral recurrent pneumothoraces. Astrocyte. 2017;4(3).
  6. Wilson PM, Rymeski B, Xu X, Hardie W. An evidence?based review of primary spontaneous pneumothorax in adolescents. J Am Coll Emerg Physicians Open. 2021;2(3).
  7. Dahmarde H, Parooie F, Salarzaei M. Accuracy of Ultrasound in Diagnosis of Pneumothorax: A Comparison between Neonates and Adults - A Systematic Review and Meta-Analysis. Can Respir J. 2019;218-24.
  8. Kline JP, Dionisio D, Sullivan K, Early T, Wolf J, Kline D. Detection of pneumothorax with ultrasound. AANA J. 2013;81(4).
  9. Ding W, Shen Y, Yang J, He X, Zhang M. Diagnosis of pneumothorax by radiography and ultrasonography: A meta-analysis. Chest. 2011;140(4).
  10. Omar HR, Mangar D, Khetarpal S, et al. Anteroposterior chest radiograph vs. chest CT scan in early detection of pneumothorax in trauma patients. Int Arch Med. 2011;4(1).

How to Cite

Andani, N. M. L., & Savitri, P. D. (2022). Persistent secondary spontaneous pneumothorax as a complication of tuberculosis infection: a case report. Intisari Sains Medis, 13(1), 131–135. https://doi.org/10.15562/ism.v13i1.1260

HTML
88

Total
107

Share

Search Panel

Ni Made Lintya Andani
Google Scholar
Pubmed
ISM Journal


Putu Diah Savitri
Google Scholar
Pubmed
ISM Journal