Complications of Tuberculosis: A Case Study on Bronchopleural Fistula and Failed Conservative Management
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Abstract
Bronchopleural fistula (BPF) is a severe complication of pulmonary tuberculosis, particularly prevalent in high TB incidence regions like Indonesia. We managed a 22-year-old male with pulmonary tuberculosis who developed right pyopneumothorax unresponsive to conservative treatment. Despite anti-tuberculosis treatment (ATT), his condition worsened. A thoracic CT confirmed bronchopleural fistula, leading us to perform an exploratory thoracotomy with decortication and fistula closure, resulting in significant clinical improvement. This case underscores the challenges of managing tuberculosis-associated BPF and highlights the necessity for early surgical intervention when conservative treatments fail. The successful outcome emphasizes the importance of a multidisciplinary approach to ensure favourable patient outcomes and prevent complications. Prompt surgical management is crucial in tuberculosis related BPF cases where conservative treatments are ineffective, reinforcing the need for tailored, multidisciplinary strategies in complex TB cases.
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Copyright (c) 2025 Noni Novisari Soeroso, Aida Aida, Setia Putra Tarigan, Andika Pradana, Brema Suranta Pasaribu, Halina Julia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Noni Novisari Soeroso, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Aida Aida, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Setia Putra Tarigan, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Andika Pradana, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Brema Suranta Pasaribu, Thoracic Surgeon Division, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Thoracic Surgeon Division, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Halina Julia, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansyur No.5, Medan, 20155, Indonesia.
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