The Korean Journal of Medicine

  • 제81권2호
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  • Pages.150-153
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  • 2011
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

결핵성 흉막염의 진단과 치료

Diagnosis and Treatment of Tuberculous Pleuritis

  • 임재준 (서울대학교 의과대학 내과학교실 및 폐연구소)
  • Yim, Jae-Joon (Division of Pulmonary and Critical Care Medicine, Depatment of Internal Medicine and Lung Institute of Medical Research Center, Seoul National University College of Medicine)
  • 발행 : 2011.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

Tuberculous (TB) pleuritis is the second most common form of extrapulmonary tuberculosis. Because the yield of pleural fluid mycobacterial culture is as low as 20% and the pleural biopsy is rather invasive, the measurement of adenosine deaminase (ADA) has been a cornerstone of the diagnosis of TB pleuritis. If the ADA level of pleural fluid is higher than 70 IU/L, the diagnosis of TB pleuritis can be made safely. The treatment is based on a standard short course anti-TB treatment starting with isoniazid, rifampicin, ethambutol, and pyrazinamide. Although systemic steroids and drainage of pleural fluid have been tried to reduce the residual pleural thickening, the results are contradicting.

키워드

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