Incidental finding of tuberculous pleural effusion in patient undergoing coronary artery bypass grafting: Case report
| العنوان: | Incidental finding of tuberculous pleural effusion in patient undergoing coronary artery bypass grafting: Case report |
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| المؤلفون: | Syed Shahabuddin, Yasir Khan, Munawar Shah |
| المصدر: | Annals of Medicine and Surgery |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Tuberculosis, Tuberculous pleural effusion, Constitutional symptoms, Pleural effusion, business.industry, Coronary artery bypass grafting, General Medicine, medicine.disease, Cardiac surgery, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Effusion, 030220 oncology & carcinogenesis, Heart failure, medicine, 030211 gastroenterology & hepatology, Histopathology, business, Original Research, Artery |
| الوصف: | Introduction Pleural effusion is common in patient with coronary artery bypass grafting (CABG) usually due to heart failure in preoperative and trauma of surgery in postoperative patient. Tuberculous Pleural effusion is most common form of extra pulmonary Tuberculosis. Preoperatively Tuberculous pleural effusion in CABG patients has rarely been described in literature. Presentation of case A 62 years old gentleman with ischemic heart disease was admitted for coronary artery bypass grafting surgery. Preoperative workup showed left sided pleural. Intraoperatively left sided turbid yellowish colour effusion with loculation was noted while harvesting left internal mammary artery. Loculation were broken down, effusion was drained and tissues were sent for microbiology and histopathology. CABG was performed smoothly. Microbiology of pleural tissue revealed Mycobacterium tuberculosis while histopathology showed chronic granulomatous inflammation. Patient was started on antituberculous therapy and remained well six months postoperatively. Conclusion In developing countries even without any constitutional symptoms of Tuberculosis high index of suspicion for Tuberculosis should be made for patient with pleural effusion especially in cases of cardiac surgery as to prevent morbidity and mortality. Highlights • Tuberculosis is a Global health problem. • Pleural effusion in developing country should be evaluated for Tuberculosis. • Pleural effusion in patients with Coronary artery disease is not always due to heart failure, it can be due to Tuberculosis [1-8]. |
| تدمد: | 2049-0801 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c62d17625c7f7d88aae94d52f550d72eTest https://doi.org/10.1016/j.amsu.2019.08.001Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c62d17625c7f7d88aae94d52f550d72e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20490801 |
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