Scholarlink

Background <p>A bronchopleural fistula (BPF) accompanied by tension hydropneumothorax is a rare but potentially life-threatening complication of tuberculosis, posing significant diagnostic and treatment challenges. Effective management requires a multidisciplinary approach, particularly when there are additional concurrent infections involved.</p> Case presentation <p>A 28-year-old Black Ethiopian male with no significant past medical history presented to the emergency department with a 1-week exacerbation of shortness of breath, alongside a 2-month history of productive cough, weight loss, and night sweats. He was diagnosed with tuberculosis via GeneXpert testing and subsequently bronchopleural fistula complicated by hydropneumothorax with imaging. Management consisted of chest tube drainage, intravenous antibiotic therapy, and standard first-line antitubercular treatment. The patient showed significant improvement and was discharged in stable condition.</p> Conclusion <p>This case highlights a rare complication of cavitary tuberculosis and demonstrates that bronchopleural fistula can be successfully managed with nonsurgical approaches, resulting in clinical recovery and lung re-expansion, while also providing insights into diagnostic and management strategies.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Post-tubercular bronchopleural fistula with tension hydropneumothorax: a rare case and its management and diagnostic challenges in a low-income country: a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月29日

查看全文
  • Amanuel Dagabas Wakoya,
  • Ayto Addisu Negash,
  • Fitsum Negusse Assefa

摘要

Background

A bronchopleural fistula (BPF) accompanied by tension hydropneumothorax is a rare but potentially life-threatening complication of tuberculosis, posing significant diagnostic and treatment challenges. Effective management requires a multidisciplinary approach, particularly when there are additional concurrent infections involved.

Case presentation

A 28-year-old Black Ethiopian male with no significant past medical history presented to the emergency department with a 1-week exacerbation of shortness of breath, alongside a 2-month history of productive cough, weight loss, and night sweats. He was diagnosed with tuberculosis via GeneXpert testing and subsequently bronchopleural fistula complicated by hydropneumothorax with imaging. Management consisted of chest tube drainage, intravenous antibiotic therapy, and standard first-line antitubercular treatment. The patient showed significant improvement and was discharged in stable condition.

Conclusion

This case highlights a rare complication of cavitary tuberculosis and demonstrates that bronchopleural fistula can be successfully managed with nonsurgical approaches, resulting in clinical recovery and lung re-expansion, while also providing insights into diagnostic and management strategies.