Abstract
IntroductionPulmonary pneumatoceles are thin-walled, air-filled cysts that develop within the lung. Most often, they occur as a sequela to acute pneumonia, commonly caused by Staphylococcus aureus, and are found more frequently in infants and young children. Adult tuberculous pulmonary pneumatoceles are seldom reported.Case presentationWe reported a case of pulmonary tuberculosis with pneumatocele formation after antituberculous treatment. A 41-year-old man presented with fever and productive cough for 3 weeks. Chest X ray revealed cavitary lesions in bilateral upper lobes of the lung. Acid-fast rods were found in sputum and the cultures subsequently yielded Mycobacterium tuberculosis. After antituberculous treatment, obvious pneumatocele formation was noted in the right upper lobe.ConclusionThe formation of pneumatoceles in adult pulmonary tuberculosis can occur before, during or after antituberculous treatment, and the development of complications of pneumatoceles was variable.
Highlights
Pulmonary pneumatoceles are thin-walled, air-filled cysts that develop within the lung
They occur as a sequela to acute pneumonia, commonly caused by Staphylococcus aureus, and are found more frequently in infants and young children
Case presentation: We reported a case of pulmonary tuberculosis with pneumatocele formation after antituberculous treatment
Summary
Pulmonary pneumatoceles are thin-walled, air-filled cysts that develop within the lung. We demonstrated the formation of pneumatoceles during antituberculous chemotherapy in a 41-year-old male with pulmonary tuberculosis. Cases Journal 2009, 2:8570 http://casesjournal.com/casesjournal/article/view/8570 were found in sputum and the cultures subsequently yielded Mycobacterium tuberculosis. He received antituberculous chemotherapy (isoniazid, ethambutol, rifampicin and pyrazinamide for 2 months followed by isoniazid, ethambutol, and rifampicin). Since no bulla was noted in the initial images, the radiographic findings were compatible with a diagnosis of tuberculous pneumatocele. He received 9 months of antituberculous chemotherapy and there was no evidence of recurrence in one-year follow up
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