Bronchopleurocutaneous Fistula: A Rare Complication of Pulmonary Tuberculosis

Authors

  • Ana Sofia José Montez Serviço de Medicina Interna. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.
  • Daniel Coutinho Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.
  • Jorge Velez Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.
  • Filomena Freitas Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.
  • Célia Oliveira Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

DOI:

https://doi.org/10.20344/amp.5467

Keywords:

Bronchial Fistula, Fistula, Pleural Diseases, Tuberculosis, Pulmonary.

Abstract

Introduction: Multiple complications can occur in tuberculosis. Bronchopleurocutaneous fistula is a pathological communication between bronchus, pleural space and skin.
Clinical Case: We present a 47 year-old male patient, schizophrenic, who presented with complaints of pleuritic chest pain, cough and weight loss. The patient was cachectic with purulent drainage from an orifice in the antero-lateral left chest wall. In this drainage acidfast bacilli were identified and chest radiograph showed bilateral infiltrates. He was admitted to the Infectious Diseases Department with the diagnosis of fistulized pulmonary tuberculosis, confirmed by visualization of acid-fast bacilli, positive polymerase chain reaction and cultures for Mycobacterium tuberculosis in the sputum. The patient was started on quadruple antituberculosis therapy and had a
favorable outcome.
Conclusions: Bronchopleurocutaneous fistula is a rare complication of pulmonary tuberculosis. Despite pulmonary tuberculosis being a common condition in our country, the rarity of this complication prompted the authors to present it.

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Author Biographies

Ana Sofia José Montez, Serviço de Medicina Interna. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

Serviço de Medicina

Daniel Coutinho, Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

Serviço de Infeciologia

Jorge Velez, Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

Serviço de Infeciologia

Filomena Freitas, Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

Serviço de Infeciologia

Célia Oliveira, Serviço de Infeciologia. Centro Hospitalar do Baixo Vouga. Aveiro. Portugal.

Serviço de Infeciologia

Published

2015-01-16

How to Cite

1.
José Montez AS, Coutinho D, Velez J, Freitas F, Oliveira C. Bronchopleurocutaneous Fistula: A Rare Complication of Pulmonary Tuberculosis. Acta Med Port [Internet]. 2015 Jan. 16 [cited 2022 Nov. 28];28(2):260-2. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5467

Issue

Section

Case Report