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Case Reports
. 2023 Mar 21;23(1):93.
doi: 10.1186/s12890-023-02374-y.

Bronchial tuberculosis with recurrent spontaneous pneumothorax: A case report

Ting Li  1 , Yu-Hong Li  2 , Ming Zhang  2
Affiliations
Case Reports

Bronchial tuberculosis with recurrent spontaneous pneumothorax: A case report

Ting Li et al. BMC Pulm Med. .

Erratum in

Abstract

Background: Spontaneous pneumothorax associated with tuberculosis due to clinical manifestations, imaging findings and negative pleural biopsy is rare.

Case report: A 43-year-old young woman went to the hospital several times because of recurrent dyspnea and was diagnosed with a right spontaneous pneumothorax. She underwent multiple closed thoracic drainage procedures, but the pneumothorax was not completely resolved. Pleural biopsy pathology was chronic inflammation; there was no evidence of tuberculosis. A small amount of pneumothorax persisted, intermittent dyspnea became more severe, and pneumothorax increased. Bronchoscopy showed thickening of the left lung lingular segment mucosa, and the bronchial lavage fluid gene X-PERT/rifampicin resistance test was positive. After one month of anti-tuberculosis treatment, the symptoms of short breath were completely relieved, and chest computerized tomography (CT) showed complete resolution of the right pneumothorax.

Conclusions: When searching for the cause of spontaneous pneumothorax, people should not overlook tuberculosis-related secondary pneumothorax, which should be diagnosed and treated as soon as possible.

Keywords: Bronchial tuberculosis; Secondary pneumothorax; Spontaneous pneumothorax.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Right spontaneous pneumothorax April 2021 Provincial People ‘s Hospital
Fig. 2
Fig. 2
Right spontaneous pneumothorax January 2021 Our Hospital
Fig. 3
Fig. 3
Postoperative pathological chronic inflammation, subpleural alveolar structural deformation
Fig. 4
Fig. 4
Small residual gas and subcutaneous emphysema in posterior right thoracic cavity
Fig. 5
Fig. 5
Right spontaneous pneumothorax July 2022
Fig. 6
Fig. 6
Admitted to our department due to dyspnea, spontaneous pneumothorax August 2022
Fig. 7
Fig. 7
Bronchoscopy revealed local thickening of the mucosa of the lateral lingular branch of the left upper lobe
Fig. 8
Fig. 8
After 1 month of anti-tuberculosis treatment, the patient ‘s shortness of breath was completely relieved, chest CT was reviewed, and the right pneumothorax was completely resolved
See this image and copyright information in PMC

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