Tuberculous Pleural Disease
- Pleural tuberculosis occurs 3 to 7 months after primary pulmonary tuberculosis and is usually secondary to the rupture of a subpleural caseous focus.
- Pleural tuberculosis is self-limited, with 80% of patients achieving complete remission without treatment.
- If pleural tuberculosis is left untreated, 65% of patients will develop active (pulmonary or extrapulmonary) disease within 5 years.
- Pleural needle biopsy of pleural tuberculosis for histologic and microbiologic study has 80% to 90% sensitivity.
- Treatment of pleural tuberculosis consists of 6 months of chemotherapy.
- Tuberculous empyema results from the rupture of a parenchymal pulmonary tuberculous focus with a large number of organisms spilling into the pleural space.
- In acute tuberculous empyema, bronchopleural fistula is usually present.
- Chronic tuberculous empyema may develop if an acute empyema is not recognized or is not properly treated.
- The treatment goals for tuberculous empyema are to clean the pleural cavity until the space is sterile and to obliterate the residual pleural space.
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Last updated: August 13, 2023
Ugalde, Paula A, et al. "Tuberculous Pleural Disease." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Ugalde PA, Dal Agnol G, Vieira A. Tuberculous Pleural Disease. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed November 28, 2023.
Ugalde, P. A., Dal Agnol, G., & Vieira, A. (2023). Tuberculous Pleural Disease. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Ugalde PA, Dal Agnol G, Vieira A. Tuberculous Pleural Disease [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 November 28]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Tuberculous Pleural Disease ID - 1418297 ED - Jacobs,J, ED - Darling,Gail, ED - Baumgartner,William, Y1 - 2023/08/13/ BT - Pearson's General Thoracic UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418297/all/Tuberculous_Pleural_Disease PB - Chicago: Society of Thoracic Surgeons DB - STS Surgery DP - Unbound Medicine ER -