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

허정원, 박소현, 류세민, 홍윤기,
소속 상세정보
허정원 ( Heo Jeong-Won ) - Kangwon National University Hospital Department of Internal Medicine
박소현 ( Bak So-Hyeon ) - Kangwon National University School of Medicine Department of Radiology
류세민 ( Ryu Se-Min ) - Kangwon National University School of Medicine Department of Thoracic and Cardiovascular Surgery
홍윤기 ( Hong Yoon-Ki ) - Kangwon National University Hospital Department of Internal Medicine

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.

키워드

Bullae; Tuberculosis; Case report

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