TITLE:
Spontaneous Pneumothorax Complicating Miliary Tuberculosis: About a Case at the “Centre Medical Principal De La Gendarmerie Nationale Du Mali”
AUTHORS:
Souleymane Coulibaly, Marius Pembé Sanou, Kassim Sidibe, Ladji Mohamed Diaby, Lassina Diallo, Daouda Amara Traore, Salif Kone, Ami Diarra, Salif Sow, Abasse Sanogo, Salif Satao, Mamadou Cherif Kante, Mahamadou Coulibaly, Aminata Bagayoko, Soumaila Keita
KEYWORDS:
Spontaneous Pneumothorax, Miliary Tuberculosis, Antituberculous Chemotherapy, Pleural Drainage, Respiratory Physiotherapy
JOURNAL NAME:
Journal of Tuberculosis Research,
Vol.11 No.2,
June
21,
2023
ABSTRACT: Introduction: Spontaneous pneumothorax is a rare but serious complication of
tuberculosis. Miliary tuberculosis (MT) is a severe form of tuberculosis
secondary to hematogenous spread of Mycobacterium tuberculosis. Objective: To report a case of MT complicated by pneumothorax. Methodology: This was a 25-year-old patient, farmer, followed
up at the Pneumo-phtisiology department of the CHU du Point G for MT whose condition was improving after the
introduction of anti-tuberculosis chemotherapy. He
consulted again after experiencing chest pain. Clinical
and imaging revealed a Spontaneous pneumothorax complicating MT. The treatment
combined anti-tuberculosis chemotherapy, chest drainage and respiratory
physiotherapy. Outcome was favorable with improvement of clinical and
radiological signs. Conclusion: Pneumothorax complicating MT requires a
reflective diagnostic approach and rapid management to improve its prognosis.