RT Journal Article
SR Electronic
T1 Spontaneous pneumothorax and tuberculosis. Long-term follow-up
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP erj01289-2010
DO 10.1183/09031936.00128910
A1 J.L. Freixinet
A1 J.A. Caminero
A1 J. Marchena
A1 P.M. Rodríguez
A1 J.A. Casimiro
A1 M. Hussein
YR 2010
UL http://erj.ersjournals.com/content/early/2010/10/14/09031936.00128910.abstract
AB Though spontaneous pneumothorax (SP) is a well-known complication of pulmonary tuberculosis (TB), there are very few reports addressing this topic: For this reason, we retrospectively analysed the experience of SP in patients diagnosed with TB in our hospital between 1989 and 2010.Out of 872 patients treated for SP during this period, 47 (5.4%) had TB antecedents, 21 with active TB (0.95% of the 2089 TB cases diagnosed during this period) and 26 with residual inactive TB. 46 cases were treated with pleural drainage (PD): 40 (85%) with only one, 2 with two and 4 with three PD. The average length was 12.9±11.3 days. In 11 cases (23%) a relapse of SP occurred, with no statistical relationship among the different studied variables. In 13 cases (28%) it became necessary to carry out a resection (atypical segmentectomy in all cases) for persistent air leaks with PD. Survival statistics were unfavorable only in elderly patients and those infected with HIV.We conclude that the treatment of SP secondary to TB with PD is usually a sound response, with a good general prognosis, and low percentage of cases that require another PD and surgical treatment.