Tuberculosis and Respiratory Diseases

  • 제76권4호
  • /
  • Pages.153-159
  • /
  • 2014
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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Tuberculous Pleurisy: An Update

  • Jeon, Doosoo (Department of Internal Medicine, Pusan National University School of Medicine)
  • 투고 : 2014.01.30
  • 심사 : 2014.02.14
  • 발행 : 2014.04.30
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⟨ 이전 논문 다음 논문 ⟩

초록

Tuberculous pleurisy is the most common form of extrapulmonary tuberculosis in Korea. Tuberculous pleurisy presents a diagnostic and therapeutic problem due to the limitations of traditional diagnostic tools. There have been many clinical research works during the past decade. Recent studies have provided new insight into the tuberculous pleurisy, which have a large impact on clinical practice. This review is a general overview of tuberculous pleurisy with a focus on recent findings on the diagnosis and management.

키워드

참고문헌

  1. Light RW. Update on tuberculous pleural effusion. Respirology 2010;15:451-8. https://doi.org/10.1111/j.1440-1843.2010.01723.x
  2. Baumann MH, Nolan R, Petrini M, Lee YC, Light RW, Schneider E. Pleural tuberculosis in the United States: incidence and drug resistance. Chest 2007;131:1125-32. https://doi.org/10.1378/chest.06-2352
  3. Seiscento M, Vargas FS, Rujula MJ, Bombarda S, Uip DE, Galesi VM. Epidemiological aspects of pleural tuberculosis in the state of Sao Paulo, Brazil (1998-2005). J Bras Pneumol 2009;35:548-54. https://doi.org/10.1590/S1806-37132009000600008
  4. Saks AM, Posner R. Tuberculosis in HIV positive patients in South Africa: a comparative radiological study with HIV negative patients. Clin Radiol 1992;46:387-90. https://doi.org/10.1016/S0009-9260(05)80684-1
  5. Korea Centers for Disease Control & Prevention. Annual report on the notified tuberculosis patients in Korea 2012. Cheongwon: Korea Centers for Disease Control & Prevention;2013.
  6. Pozniak AL, MacLeod GA, Ndlovu D, Ross E, Mahari M, Weinberg J. Clinical and chest radiographic features of tuberculosis associated with human immunodeficiency virus in Zimbabwe. Am J Respir Crit Care Med 1995;152(5 Pt 1):1558-61. https://doi.org/10.1164/ajrccm.152.5.7582294
  7. Queipo JA, Broseta E, Santos M, Sanchez-Plumed J, Budia A, Jimenez-Cruz F. Mycobacterial infection in a series of 1261 renal transplant recipients. Clin Microbiol Infect 2003;9:518-25. https://doi.org/10.1046/j.1469-0691.2003.00532.x
  8. Light RW. Pleural diseases. 5th ed. Baltimore: Lippincott, Williams and Wilkins; 2007.
  9. Stead WW, Eichenholz A, Stauss HK. Operative and pathologic findings in twenty-four patients with syndrome of idiopathic pleurisy with effusion, presumably tuberculous. Am Rev Tuberc 1955;71:473-502.
  10. Porcel JM. Tuberculous pleural effusion. Lung 2009;187:263-70. https://doi.org/10.1007/s00408-009-9165-3
  11. Korea Centers for Disease Control & Prevention. Annual report on the notified tuberculosis patients in Korea 2011. Cheongwon: Korea Centers for Disease Control & Prevention;2012.
  12. Gopi A, Madhavan SM, Sharma SK, Sahn SA. Diagnosis and treatment of tuberculous pleural effusion in 2006. Chest 2007;131:880-9. https://doi.org/10.1378/chest.06-2063
  13. Levine H, Szanto PB, Cugell DW. Tuberculous pleurisy. An acute illness. Arch Intern Med 1968;122:329-32. https://doi.org/10.1001/archinte.1968.00300090039009
  14. Bielsa S, Palma R, Pardina M, Esquerda A, Light RW, Porcel JM. Comparison of polymorphonuclear- and lymphocyterich tuberculous pleural effusions. Int J Tuberc Lung Dis 2013;17:85-9. https://doi.org/10.5588/ijtld.12.0236
  15. Seibert AF, Haynes J Jr, Middleton R, Bass JB Jr. Tuberculous pleural effusion: twenty-year experience. Chest 1991;99:883-6. https://doi.org/10.1378/chest.99.4.883
  16. Valdes L, Alvarez D, San Jose E, Penela P, Valle JM, Garcia- Pazos JM, et al. Tuberculous pleurisy: a study of 254 patients. Arch Intern Med 1998;158:2017-21. https://doi.org/10.1001/archinte.158.18.2017
  17. Kim HJ, Lee HJ, Kwon SY, Yoon HI, Chung HS, Lee CT, et al. The prevalence of pulmonary parenchymal tuberculosis in patients with tuberculous pleuritis. Chest 2006;129:1253-8. https://doi.org/10.1378/chest.129.5.1253
  18. Udwadia ZF, Sen T. Pleural tuberculosis: an update. Curr Opin Pulm Med 2010;16:399-406. https://doi.org/10.1097/MCP.0b013e328339cf6e
  19. Conde MB, Loivos AC, Rezende VM, Soares SL, Mello FC, Reingold AL, et al. Yield of sputum induction in the diagnosis of pleural tuberculosis. Am J Respir Crit Care Med 2003;167:723-5. https://doi.org/10.1164/rccm.2111019
  20. Maartens G, Bateman ED. Tuberculous pleural effusions: increased culture yield with bedside inoculation of pleural fluid and poor diagnostic value of adenosine deaminase. Thorax 1991;46:96-9. https://doi.org/10.1136/thx.46.2.96
  21. von Groote-Bidlingmaier F, Koegelenberg CF, Bolliger CT, Chung PK, Rautenbach C, Wasserman E, et al. The yield of different pleural fluid volumes for Mycobacterium tuberculosis culture. Thorax 2013;68:290-1. https://doi.org/10.1136/thoraxjnl-2012-202338
  22. Ruan SY, Chuang YC, Wang JY, Lin JW, Chien JY, Huang CT, et al. Revisiting tuberculous pleurisy: pleural fluid characteristics and diagnostic yield of mycobacterial culture in an endemic area. Thorax 2012;67:822-7. https://doi.org/10.1136/thoraxjnl-2011-201363
  23. Tovar M, Siedner MJ, Gilman RH, Santillan C, Caviedes L, Valencia T, et al. Improved diagnosis of pleural tuberculosis using the microscopic- observation drug-susceptibility technique. Clin Infect Dis 2008;46:909-12. https://doi.org/10.1086/527447
  24. Diacon AH, Van de Wal BW, Wyser C, Smedema JP, Bezuidenhout J, Bolliger CT, et al. Diagnostic tools in tuberculous pleurisy: a direct comparative study. Eur Respir J 2003;22:589-91. https://doi.org/10.1183/09031936.03.00017103a
  25. Dinnes J, Deeks J, Kunst H, Gibson A, Cummins E, Waugh N, et al. A systematic review of rapid diagnostic tests for the detection of tuberculosis infection. Health Technol Assess 2007;11:1-196.
  26. Pai M, Flores LL, Hubbard A, Riley LW, Colford JM Jr. Nucleic acid amplification tests in the diagnosis of tuberculous pleuritis: a systematic review and meta-analysis. BMC Infect Dis 2004;4:6. https://doi.org/10.1186/1471-2334-4-6
  27. Porcel JM. Pleural fluid biomarkers: beyond the Light criteria. Clin Chest Med 2013;34:27-37. https://doi.org/10.1016/j.ccm.2012.11.002
  28. Boehme CC, Nabeta P, Hillemann D, Nicol MP, Shenai S, Krapp F, et al. Rapid molecular detection of tuberculosis and rifampin resistance. N Engl J Med 2010;363:1005-15. https://doi.org/10.1056/NEJMoa0907847
  29. Tortoli E, Russo C, Piersimoni C, Mazzola E, Dal Monte P, Pascarella M, et al. Clinical validation of Xpert MTB/RIF for the diagnosis of extrapulmonary tuberculosis. Eur Respir J 2012;40:442-7. https://doi.org/10.1183/09031936.00176311
  30. Porcel JM, Palma R, Valdes L, Bielsa S, San-Jose E, Esquerda A. Xpert(R) MTB/RIF in pleural fluid for the diagnosis of tuberculosis. Int J Tuberc Lung Dis 2013;17:1217-9. https://doi.org/10.5588/ijtld.13.0178
  31. Friedrich SO, von Groote-Bidlingmaier F, Diacon AH. Xpert MTB/RIF assay for diagnosis of pleural tuberculosis. J Clin Microbiol 2011;49:4341-2. https://doi.org/10.1128/JCM.05454-11
  32. Christopher DJ, Schumacher SG, Michael JS, Luo R, Balamugesh T, Duraikannan P, et al. Performance of Xpert MTB/ RIF on pleural tissue for the diagnosis of pleural tuberculosis. Eur Respir J 2013;42:1427-9. https://doi.org/10.1183/09031936.00103213
  33. Piras MA, Gakis C, Budroni M, Andreoni G. Adenosine deaminase activity in pleural effusions: an aid to differential diagnosis. Br Med J 1978;2:1751-2.
  34. Liang QL, Shi HZ, Wang K, Qin SM, Qin XJ. Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: a metaanalysis. Respir Med 2008;102:744-54. https://doi.org/10.1016/j.rmed.2007.12.007
  35. Greco S, Girardi E, Masciangelo R, Capoccetta GB, Saltini C. Adenosine deaminase and interferon gamma measurements for the diagnosis of tuberculous pleurisy: a meta-analysis. Int J Tuberc Lung Dis 2003;7:777-86.
  36. Goto M, Noguchi Y, Koyama H, Hira K, Shimbo T, Fukui T. Diagnostic value of adenosine deaminase in tuberculous pleural effusion: a meta-analysis. Ann Clin Biochem 2003;40(Pt 4):374-81. https://doi.org/10.1258/000456303766477011
  37. Morisson P, Neves DD. Evaluation of adenosine deaminase in the diagnosis of pleural tuberculosis: a Brazilian metaanalysis. J Bras Pneumol 2008;34:217-24. https://doi.org/10.1590/S1806-37132008000400006
  38. Krenke R, Korczynski P. Use of pleural fluid levels of adenosine deaminase and interferon gamma in the diagnosis of tuberculous pleuritis. Curr Opin Pulm Med 2010;16:367-75. https://doi.org/10.1097/MCP.0b013e32833a7154
  39. Valdes L, Pose A, San Jose E, Martinez Vazquez JM. Tuberculous pleural effusions. Eur J Intern Med 2003;14:77-88. https://doi.org/10.1016/S0953-6205(03)00018-9
  40. Baba K, Hoosen AA, Langeland N, Dyrhol-Riise AM. Adenosine deaminase activity is a sensitive marker for the diagnosis of tuberculous pleuritis in patients with very low CD4 counts. PLoS One 2008;3:e2788. https://doi.org/10.1371/journal.pone.0002788
  41. Chung JH, Kim YS, Kim SI, Park K, Park MS, Kim YS, et al. The diagnostic value of the adenosine deaminase activity in the pleural fluid of renal transplant patients with tuberculous pleural effusion. Yonsei Med J 2004;45:661-4. https://doi.org/10.3349/ymj.2004.45.4.661
  42. Valdes L, San Jose E, Alvarez D, Valle JM. Adenosine deaminase (ADA) isoenzyme analysis in pleural effusions: diagnostic role, and relevance to the origin of increased ADA in tuberculous pleurisy. Eur Respir J 1996;9:747-51. https://doi.org/10.1183/09031936.96.09040747
  43. Perez-Rodriguez E, Perez Walton IJ, Sanchez Hernandez JJ, Pallares E, Rubi J, Jimenez Castro D, et al. ADA1/ADAp ratio in pleural tuberculosis: an excellent diagnostic parameter in pleural fluid. Respir Med 1999;93:816-21. https://doi.org/10.1016/S0954-6111(99)90267-6
  44. Jiang J, Shi HZ, Liang QL, Qin SM, Qin XJ. Diagnostic value of interferon-gamma in tuberculous pleurisy: a metaanalysis. Chest 2007;131:1133-41. https://doi.org/10.1378/chest.06-2273
  45. Villena V, Lopez-Encuentra A, Pozo F, Echave-Sustaeta J, Ortuno-de-Solo B, Estenoz-Alfaro J, et al. Interferon gamma levels in pleural fluid for the diagnosis of tuberculosis. Am J Med 2003;115:365-70. https://doi.org/10.1016/S0002-9343(03)00423-6
  46. Dheda K, van Zyl-Smit RN, Sechi LA, Badri M, Meldau R, Meldau S, et al. Utility of quantitative T-cell responses versus unstimulated interferon-{gamma} for the diagnosis of pleural tuberculosis. Eur Respir J 2009;34:1118-26. https://doi.org/10.1183/09031936.00005309
  47. Kang JY, Rhee CK, Kang NH, Kim JS, Yoon HK, Song JS. Clinical utility of two interferon-gamma release assays on pleural fluid for the diagnosis of tuberculous pleurisy. Tuberc Respir Dis 2012;73:143-50. https://doi.org/10.4046/trd.2012.73.3.143
  48. Zhou Q, Chen YQ, Qin SM, Tao XN, Xin JB, Shi HZ. Diagnostic accuracy of T-cell interferon-gamma release assays in tuberculous pleurisy: a meta-analysis. Respirology 2011;16:473-80. https://doi.org/10.1111/j.1440-1843.2011.01941.x
  49. Trajman A, Pai M, Dheda K, van Zyl Smit R, Zwerling AA, Joshi R, et al. Novel tests for diagnosing tuberculous pleural effusion: what works and what does not? Eur Respir J 2008;31:1098-106. https://doi.org/10.1183/09031936.00147507
  50. Porcel JM, Aleman C, Bielsa S, Sarrapio J, Fernandez de Sevilla T, Esquerda A. A decision tree for differentiating tuberculous from malignant pleural effusions. Respir Med 2008;102:1159-64. https://doi.org/10.1016/j.rmed.2008.03.001
  51. Burgess LJ, Maritz FJ, Le Roux I, Taljaard JJ. Combined use of pleural adenosine deaminase with lymphocyte/neutrophil ratio. Increased specificity for the diagnosis of tuberculous pleuritis. Chest 1996;109:414-9. https://doi.org/10.1378/chest.109.2.414
  52. Villegas MV, Labrada LA, Saravia NG. Evaluation of polymerase chain reaction, adenosine deaminase, and interferongamma in pleural fluid for the differential diagnosis of pleural tuberculosis. Chest 2000;118:1355-64. https://doi.org/10.1378/chest.118.5.1355
  53. Neves DD, Dias RM, Cunha AJ. Predictive model for the diagnosis of tuberculous pleural effusion. Braz J Infect Dis 2007;11:83-8. https://doi.org/10.1590/S1413-86702007000100019
  54. Patiala J. Initial tuberculous pleuritis in the Finnish armed forces in 1939-1945 with special reference to eventual postpleuritic tuberculosis. Acta Tuberc Scand Suppl 1954;36:1-57.
  55. Roper WH, Waring JJ. Primary serofibrinous pleural effusion in military personnel. Am Rev Tuberc 1955;71:616-34.
  56. Canete C, Galarza I, Granados A, Farrero E, Estopa R, Manresa F. Tuberculous pleural effusion: experience with six months of treatment with isoniazid and rifampicin. Thorax 1994;49:1160-1. https://doi.org/10.1136/thx.49.11.1160
  57. Dutt AK, Moers D, Stead WW. Tuberculous pleural effusion: 6-month therapy with isoniazid and rifampin. Am Rev Respir Dis 1992;145:1429-32. https://doi.org/10.1164/ajrccm/145.6.1429
  58. Tani P, Poppius H, Maekipaja J. Cortisone therapy for exudative tuberculous pleurisy in the light of a follow-up study. Acta Tuberc Pneumol Scand 1964;44:303-9.
  59. Jeon K, Choi WI, An JS, Lim SY, Kim WJ, Park GM, et al. Paradoxical response in HIV-negative patients with pleural tuberculosis: a retrospective multicentre study. Int J Tuberc Lung Dis 2012;16:846-51.
  60. Barbas CS, Cukier A, de Varvalho CR, Barbas Filho JV, Light RW. The relationship between pleural fluid findings and the development of pleural thickening in patients with pleural tuberculosis. Chest 1991;100:1264-7. https://doi.org/10.1378/chest.100.5.1264
  61. Han DH, Song JW, Chung HS, Lee JH. Resolution of residual pleural disease according to time course in tuberculous pleurisy during and after the termination of antituberculosis medication. Chest 2005;128:3240-5. https://doi.org/10.1378/chest.128.5.3240
  62. Candela A, Andujar J, Hernandez L, Martin C, Barroso E, Arriero JM, et al. Functional sequelae of tuberculous pleurisy in patients correctly treated. Chest 2003;123:1996-2000. https://doi.org/10.1378/chest.123.6.1996
  63. Lai YF, Chao TY, Wang YH, Lin AS. Pigtail drainage in the treatment of tuberculous pleural effusions: a randomised study. Thorax 2003;58:149-51. https://doi.org/10.1136/thorax.58.2.149
  64. Engel ME, Matchaba PT, Volmink J. Corticosteroids for tuberculous pleurisy. Cochrane Database Syst Rev 2007;(4):CD001876.
  65. Kwak SM, Park CS, Cho JH, Ryu JS, Kim SK, Chang J, et al. The effects of urokinase instillation therapy via percutaneous transthoracic catheter in loculated tuberculous pleural effusion: a randomized prospective study. Yonsei Med J 2004;45: 822-8. https://doi.org/10.3349/ymj.2004.45.5.822
  66. Cases Viedma E, Lorenzo Dus MJ, Gonzalez-Molina A, Sanchis Aldas JL. A study of loculated tuberculous pleural effusions treated with intrapleural urokinase. Respir Med 2006;100:2037-42. https://doi.org/10.1016/j.rmed.2006.02.010
  67. Wyser C, Walzl G, Smedema JP, Swart F, van Schalkwyk EM, van de Wal BW. Corticosteroids in the treatment of tuberculous pleurisy. A double-blind, placebo-controlled, randomized study. Chest 1996;110:333-8. https://doi.org/10.1378/chest.110.2.333
  68. Galarza I, Canete C, Granados A, Estopa R, Manresa F. Randomised trial of corticosteroids in the treatment of tuberculous pleurisy. Thorax 1995;50:1305-7. https://doi.org/10.1136/thx.50.12.1305
  69. Lee CH, Wang WJ, Lan RS, Tsai YH, Chiang YC. Corticosteroids in the treatment of tuberculous pleurisy. A double-blind, placebo-controlled, randomized study. Chest 1988;94:1256-9. https://doi.org/10.1378/chest.94.6.1256

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  2. Analysis of Cytokine Levers in Pleural Effusions of Tuberculous Pleurisy and Tuberculous Empyema vol.2016, pp.None, 2014, https://doi.org/10.1155/2016/3068103
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  4. Diagnosis of tuberculous pleurisy with combination of adenosine deaminase and interferon-γ immunospot assay in a tuberculosis-endemic population : A prospective cohort study vol.96, pp.47, 2014, https://doi.org/10.1097/md.0000000000008412
  5. Transmembrane Tumor Necrosis Factor Controls Myeloid-Derived Suppressor Cell Activity via TNF Receptor 2 and Protects from Excessive Inflammation during BCG-Induced Pleurisy vol.8, pp.None, 2014, https://doi.org/10.3389/fimmu.2017.00999
  6. Loculated Tuberculous Pleural Effusion: Easily Identifiable and Clinically Useful Predictor of Positive Mycobacterial Culture from Pleural Fluid vol.80, pp.1, 2014, https://doi.org/10.4046/trd.2017.80.1.35
  7. Mycobacterium tuberculosis ESAT6 and CPF10 Induce Adenosine Deaminase 2 mRNA Expression in Monocyte-Derived Macrophages vol.80, pp.1, 2014, https://doi.org/10.4046/trd.2017.80.1.77
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