PLEURAL EFFUSIONS-TB
SUMMARY
1. Think TB in patients with primary TB, fevers and weight loss
INVESTIGATIONS
2. Pleural fluid: lymphocytosis
3. Pleural adenosine deaminase (ADA)
4. Serum interferon-gamma release assay (IGRA)
5. Nucleic acid amplification
6. Mycobacterium tuberculosis direct (MTD)
7. Xpert MTB/RIF or MTBDRPlus: for detection of TB and rifampicin or INH resistance
8. VATS assisted pleural biopsy with AFB stains, smears, culture
Reference(s)
Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].