Abstract
Chylothorax is an unusual cause of pleural effusion that is formed when chyle enters the pleural space owing to disruption of lymphatic duct. Tuberculosis, especially multidrug-resistant tuberculosis, is an uncommon cause of chylothorax. Here, we present a case of pleural effusion, which on thoracocentesis showed milky white fluid. The pleural fluid had triglyceride content of 75 mg/dl, and lipoprotein electrophoresis showed chylomicrons, confirming the diagnosis of chylothorax. Bacteriological examination of sputum yielded acid‐fast bacilli which were resistant to rifampicin by Gene-Xpert. The patient was started on appropriate drug-resistant antituberculosis regimen. She improved clinically and had complete resolution of chylothorax.
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