Sudden death due to tension pneumothorax associated with pulmonary tuberculosis

AbstractA man in his seventies who lived alone was found dead in his home. Postmortem computed tomography (CT) performed prior to autopsy showed right-sided tension pneumothorax. Autopsy revealed an active pulmonary tuberculosis (TB) lesion. Macroscopic and histopathological findings showed pleural infiltration by TB lesions, suggesting that tension pneumothorax developed in association with TB infection. Routine postmortem CT performed prior to autopsy is useful in screening for TB because the presence of TB lesions can be confirmed from characteristic pulmonary findings. However, it may be difficult to identify tuberculous pulmonary lesions on CT if pneumothorax occurs and the lung collapses completely as in this case. Thus, forensic pathologists and radiologists should be cognizant of this rare complication of TB.
Source: Forensic Science, Medicine, and Pathology - Category: Forensic Medicine Source Type: research

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ConclusionChest X-ray is not sufficient for detecting the cause of secondary SP. As the detection of the cause of secondary SP may alter the therapeutic approach and long-term follow-up in patients with SP, the usefulness of a systematic CT examination should be assessed in a prospective trial.
Source: Diagnostic and Interventional Imaging - Category: Radiology Source Type: research
Granulomas caused by nontuberculous mycobacterial (NTM) pulmonary infections can present as solitary pulmonary nodules (SPNs) mimicking pulmonary malignancies or other infectious granulomas. However, limited data are available regarding the detailed characteristics and outcomes of surgically resected NTM granulomas. We evaluated the characteristics of 49 surgically resected NTM granulomas presenting as SPNs of 49 patients between January 2007 and December 2016. Twenty-five (51%) were male and 27 (55%) were never-smokers. Seven (14%) patients had histories of tuberculosis and 14 (29%) histories of solid tumors. More than ha...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Respiratory infections Source Type: research
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Source: Pediatria Polska - Category: Pediatrics Source Type: research
Conclusions Tuberculosis is still a current clinical problem. Negative inflammatory factors do not exclude the active tuberculosis process. Imaging studies are not specific to the diagnosis of tuberculosis. Thoracoscopy gives you the opportunity to evaluate the lung and lung cavity and to take material for histopathological examination – which, in the case of a tuberculosis test, allows for proper and specific treatment.
Source: Pediatria Polska - Category: Pediatrics Source Type: research
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Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research
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Source: Egyptian Journal of Chest Diseases and Tuberculosis - Category: Respiratory Medicine Source Type: research
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Source: Egyptian Journal of Chest Diseases and Tuberculosis - Category: Respiratory Medicine Source Type: research
Abstract: The incidence of nontuberculous mycobacterial pulmonary disease (NTMPD) is increasing worldwide. Secondary spontaneous pneumothorax occurs as a complication of underlying lung disease and is associated with higher morbidity, mortality, and recurrence than primary spontaneous pneumothorax. We here investigated the clinical features and long-term outcomes of pneumothorax associated with NTMPD. We conducted a retrospective study on consecutive adult patients with pneumothorax associated with NTMPD at Fukujuji Hospital and Keio University Hospital from January 1992 to December 2013. We reviewed the medical records o...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
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Source: Lung India - Category: Respiratory Medicine Authors: Source Type: research
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Source: Egyptian Journal of Chest Diseases and Tuberculosis - Category: Respiratory Medicine Source Type: research
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