Hemorrhagic effusions in pleural tuberculosis: Need for correlation with pleural biopsy histopathological patterns
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Pleural tuberculosis is a major treatable cause of exudative pleural effusions in India. Rarely these patients present with hemorrhagic effusion. Due to the similar constitutional symptoms, it becomes important to rule out malignancy in these patients by pleural biopsy. The lack of well formed granuloma formation in all cases of pleural tuberculosis leads to a diagnostic dilemma. Therefore, we retrospectively analyzed the histopathological features of pleural biopsies of tuberculosis patients who presented with hemorrhagic pleural effusion to the V.P Chest Institute from January 2009 to January 2015. These included 10 males and 2 females, age ranging from 33 to 80 years, mean of 65 years. The adequate biopsies (n=11) were histopathologically analysed and revealed, chronic lymphocytic pleuritis in 4 cases (44.44%), epithelioid granuloma formation in 3 cases (33.34%), necrosis in one case (11.12%) and fibrosis was seen in one case of nonresolving effusion (11.11%). The present study shows that the histopathological patterns of tubercular involvement of pleura vary depending upon the stage of involvement and epithelioid cell granulomas may not be identified in all cases. The knowledge of the histopathological patterns is necessary to accurately identify these cases who present with hemorrhagic pleural effusions and improve patient outcome.
Authors and Affiliations
Ritu Kulshrestha, Himani Singh, Apoorva Pandey
Keywords
Related Articles
- EP ID EP207594
- DOI -
- Views 108
- Downloads 0
A descriptive study on menstrual hygiene and practices among adolescent girls in Maharashtra
Background: Heart disease during pregnancy increases maternal morbidity and mortality, it should be managed very meticulously by team of experts from various specialties viz. obstetricians, cardiologists and cardiovascul...
Hemichorea - hemiballismus due to non-ketotic hyperglycemia: a case report
Non-ketotic hyperglycemia induced Hemichorea-Hemisballismus is a reversible condition found in elderly diabetics with poor glycemic control. The patients present with acute onset of involuntary movements and neuroimaging...
Rare case of right eye persistent fetal vasculature with left eye optic nerve hypoplasia
Persistent Fetal Vasculature (PFV), previously known as Persistent hyperplastic primary vitreous (PHPV), is a rare congenital developmental malformation of the eye, caused by the failure of structures of primary vitreous...
Study of Candidiasis in HIV seropositive patients
Candida species are the most common cause of fungal infections. Candida species are opportunistic yeast like fungi. They are ubiquitous and have potential to cause human disease under specific circumstances and condition...
A study to check use of additional transulnar k-wire in percutaneous cross k-wire pinning fixation of distal end radius fractures
Introduction: Distal radius fractures are the most common type of orthopedic fracture. Some surgeons advocate treatment by manipulation and plaster immobilization. Many recommend operative intervention as the only method...