Tuberculous empyema

Kuan Jen Bai, Ing Her Wu, Ming Chih Yu, I. Hsin Chiang, Chen Yuan Chiang, Tao Ping Lin, Yung Chie Lee, Kwen Tay Luh

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

The clinical courses of 35 tuberculous empyema patients were investigated retrospectively from November 1990 through November 1995. Most patients had nonspecific symptoms and signs but with far-advanced pulmonary parenchymal lesions in their chest roentgenographs. The effusions showed neutrophilic leukocytosis with a 60% positive culture rate for Mycobacterium tuberculosis. Multidrug resistant strains were found in 7 out of 18 cultures. All patients received chemotherapy and eight of them underwent additional surgical management. Twenty-two (62.9%) patients had been treated successfully and one patient is still under treatment. The remaining 12 patients either died during treatment or defaulted; and four (11.4%) of them had died of tuberculosis. We conclude that the treatment outcome of tuberculous empyema is less satisfactory than that of pulmonary tuberculosis, however, modem multidrug chemotherapy with repeated drainage and opportune surgical interventions could be in prospect of successful treatment of tuberculous empyema.

Original languageEnglish
Pages (from-to)261-266
Number of pages6
JournalRespirology
Volume3
Issue number4
Publication statusPublished - 1998
Externally publishedYes

Keywords

  • Empyema
  • Mycobacterium
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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  • Cite this

    Bai, K. J., Wu, I. H., Yu, M. C., Chiang, I. H., Chiang, C. Y., Lin, T. P., Lee, Y. C., & Luh, K. T. (1998). Tuberculous empyema. Respirology, 3(4), 261-266.