J Chest Surg.
2021 Oct;54(5):408-411. 10.5090/jcs.20.107.
Tuberculosis-Infected Giant Bulla Treated by Percutaneous Drainage Followed by Obliteration of the Pulmonary Cavity Using Talc: Case Report
- Affiliations
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- 1Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea.
- 2Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
- 3Department of Radiology, Kangwon National University School of Medicine, Chuncheon, Korea.
- 4Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Chuncheon, Korea.
- KMID: 2521124
- DOI: http://doi.org/10.5090/jcs.20.107
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.
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