Pneumothorax revealing miliary tuberculosis: A case report

H. Benaziz *, N Ouakil, M. Hindi, M.Ijim, O. Fikri and L .Amro

Faculty of medicine and pharmacy, Caddy Ayyad university, Department of Pulmonary, ARRAZI Hospital, Mohammed VI University hospital center, Marrakech, Morocco.
 
Review Article
World Journal of Advanced Research and Reviews, 2024, 21(03), 439–441
Article DOI: 10.30574/wjarr.2024.21.3.0731
 
Publication history: 
Received on 25 January 2024; revised on 02 March 2024; accepted on 04 March 2024
 
Abstract: 
Pulmonary tuberculosis can take several clinical and radiological forms; spontaneous pneumothorax is a serious complication of tuberculosis, and tuberculous miliary is a severe form of secondary tuberculosis due to hematogenous dissemination of Mycobacterium tuberculosis. We report a case of tuberculous miliary revealed by pneumothorax. The patient was 57 years old and a farmer. He was been presented to the emergency department of Mohamed VI University Hospital in Marrakech with acute dyspnea associated with chest pain. Clinical examination and imaging revealed a spontaneous pneumothorax that complicated tuberculous miliary. Treatment consisted of a combination of anti-tuberculosis chemotherapy, chest drainage, and kinesrespiratory therapy. The outcome was favorable, with improvement in clinical and radiological signs. Pneumothorax complicating TM requires careful diagnosis and prompt management to improve prognosis.
 
Keywords: 
Miliary tuberculosis; Spontaneous pneumothorax; Rare complication; Mycobacterium tuberculosis
 
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