Chylothorax is the accumulation of chyle (lymphatic fluid rich in triglycerides) in the pleural cavity due to damage or obstruction of the thoracic duct.
Pseudochylothorax
Chylothorax VS Pseudochylothorax
Tuberculosis
Modern genetic studies of the TB bacterium show that:
- Mycobacterium tuberculosis is very old
- (Approximately 9000 Years Old)
- It evolved along with humans
Evidence of TB has been found in:
- Egyptian mummies (~3000 BCE)
- Ancient Indian and Chinese texts
- Skeletal remains showing spinal TB (Pott disease)
Hippocrates (460–370 BCE) described a fatal wasting disease affecting young adults, likely pulmonary TB.
Pseudochylothorax And Tuberulosis
Pre Antibiotic Era And Pseudochylothorax
Pseudochylothorax has a strong historical association with tuberculosis, because before the antibiotic era TB was the most common cause of chronic pleural disease, which is the main setting in which pseudochylothorax develops.
Mechanism in TB:
- Chronic TB pleuritis
- Fibrosis and pleural thickening
- Long-standing trapped effusion
- Cell breakdown → cholesterol release
- Cholesterol-rich milky fluid
Pseudochylothorax
Milky White Fluid Rich In Cholesterol
Current Events
Snapshot
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