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Ann Thorac Surg 2010;90:304-305. doi:10.1016/j.athoracsur.2009.12.077
© 2010 The Society of Thoracic Surgeons
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Ikram Chaudhry
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Case Reports

Multimodality Management of Extensive Tuberculous Bullous Disease of Lung With Bilateral Pneumothorax

Ikram Chaudhry, FRCS(CTh)*, Shoukat Bojal, FRCS, Adel Attia, MD, Aziz Nwasser, MD

Department of Chest Surgery, and Chest Medicine, King Fahad Specialist Hospital, Dammam, Saudia Arabia

Accepted for publication December 29, 2009.

* Address correspondence to Dr Chaudhry, PO Box 15215, Kingdom of Saudi, Arabia Dammam, 31444 (Email: drihc{at}hotmail.co.uk).

Diffuse bullous disease of the lung in miliary tuberculosis associated with bilateral pneumothorax is a rare entity with grave prognosis. We describe the case of a 24-year-old woman in her first trimester of pregnancy with extensive bilateral pulmonary infiltrates as seen on computed tomographic scan of the lung. She had simultaneous bilateral pneumothorax that was managed with antituberculous therapy, steroids, and surgery for failure of lung expansion.






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