Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Tuberculous Pleural Effusion Developed after Percutaneous Needle Biopsy of a Solitary Pulmonary Nodule

고립성폐결절의 경피적 바늘생검 이후 발생한 결핵성 흉수 1예

  • Koo, Ho Seok (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Kim, Tae Kyun (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Park, Sung Kil (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Choi, Sang Bun (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Kim, Ae Ran (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Choi, Sang Bong (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Jung, Hoon (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Park, I-Nae (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Hur, Jin-Won (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Lee, Hyuk Pyo (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Yum, Ho-Kee (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Choi, Soo Jeon (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Choi, Suk-Jin (Department of Radiology, College of Medicine, Inje University) ;
  • Lee, Hyun-Kyung (Department of Internal Medicine, College of Medicine, Inje University)
  • 구호석 (인제대학교 의과대학 내과학교실) ;
  • 김태균 (인제대학교 의과대학 내과학교실) ;
  • 박성길 (인제대학교 의과대학 내과학교실) ;
  • 최상분 (인제대학교 의과대학 내과학교실) ;
  • 김애란 (인제대학교 의과대학 내과학교실) ;
  • 최상봉 (인제대학교 의과대학 내과학교실) ;
  • 정훈 (인제대학교 의과대학 내과학교실) ;
  • 박이내 (인제대학교 의과대학 내과학교실) ;
  • 허진원 (인제대학교 의과대학 내과학교실) ;
  • 이혁표 (인제대학교 의과대학 내과학교실) ;
  • 염호기 (인제대학교 의과대학 내과학교실) ;
  • 최수전 (인제대학교 의과대학 내과학교실) ;
  • 최석진 (인제대학교 의과대학 방사선학교실) ;
  • 이현경 (인제대학교 의과대학 내과학교실)
  • Received : 2007.08.07
  • Accepted : 2007.08.30
  • Published : 2007.09.30
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Abstract

A tuberculous pleural effusion may be a sequel to a primary infection or represent the reactivation of pulmonary tuberculosis. It is believed to result from a rupture of a subpleural caseous focus in the lung into the pleural space. It appears that delayed hypersensitivity plays a large role in the pathogenesis of a tuberculous pleural effusion. We encountered a 52 years old man with pleural effusion that developed several days after a CT guided percutaneous needle biopsy of a solitary pulmonary nodule. He was diagnosed with TB pleurisy. It is believed that his pleural effusion probably developed due to exposure of the parenchymal tuberculous focus into the pleural space during the percutaneous needle biopsy. This case might suggest one of the possible pathogeneses of tuberculous pleural effusion.

결핵성 흉수에는 결핵 단백에 감작된 T-림프구 가 존재하며 결핵 단백이 흉수에 노출되는 경우 지연성 과민 반응이 일어나 결핵성 흉막염이 발생하게 되는 것으로 알려져 있다. 저자들은 고립성 폐결절이 우연히 발견된 52세 남자에서 흉부전산화단층촬영 유도 하 경피적 바늘생검 후 결핵성 흉막염이 발생한 예를 경험하였다. 지연성 과민반응이라는 결핵성 흉수 발생기전에 부합하는 임상상황으로 생각하여 문헌고찰과 함께 보고한다.

Keywords

References

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