Buscar en
Open Respiratory Archives
Toda la web
Inicio Open Respiratory Archives Bilateral Chylothorax and COVID-19: Report Case
Journal Information
Vol. 5. Issue 2.
(April - June 2023)
Share
Share
Download PDF
More article options
Visits
840
Vol. 5. Issue 2.
(April - June 2023)
Clinical images
Full text access
Bilateral Chylothorax and COVID-19: Report Case
Quilotórax bilateral y COVID-19: reporte de caso
Visits
840
Franco Ernesto León-Jiméneza,b,c,
Corresponding author
franco.leon@uwiener.edu.pe

Corresponding author.
, Sergio Rosas-Ruizd, Sofía Cavalcanti-Ramíreza, Adriana Montoya-Reáteguia
a Hospital de la Amistad Peru Korea Santa Rosa II-2, Peru
b Master in Clinical Epidemiology, Peru
c Vicerrectorado de Investigación, Universidad Norbert Wiener, Lima, Peru
d Archbishop Loayza Hospital, Peru
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

During 2021, a 66-year-old man was admitted to the emergency room with 2 month of weight loss, cough with bloody sputum, dyspnea and fever. With IgM and IgG reactive to COVID-19 and the chest CT scan shown (Fig. 1), COVID-19 pneumonia with bilateral pleural effusion was diagnosed; he had normal vital signs; at lungs: bibasal egophony. He had 3 negative sputum smears for tuberculosis, and negatives ELISA and nasal swab antigen for HIV and COVID-19, respectively. He received dexamethasone 10mg/24h for 5 days, subcutaneous enoxaparin and ceftriaxone 2g/24h for 5 days1; 2000cm3 of thick pink fluid was drained, suspecting chylothorax: cholesterol: 250mg/dl and triglycerides: 420mg/dl, negative adenosine deaminase and Pap Block cell; 2 chest tubes were placed with 1000cm3/day through both tubes. The tomographic evolution can be seen in Fig. 1(14). Three days later he passed away.

Fig. 1.

(1) August: mild pleural effusion and ground glass: 35–40%. (2) Early September: increase in pleural effusion and decrease in ground glass. (3) End of September: similar characteristics. (4) Reconstruction of coronal section of angio tomography without evidence of vascular thrombotic lesions.

(0.37MB).

This is the second report of chylothorax in a patient with a previous infection by COVID-19. Satriano et al. reported chylothorax due to thrombosis in the superior vena cava.2 The chest tomography in our case did not show thrombi. Turkdogan et al. found a frequency of chylothorax in COVID patients of 3.2%.3 Neither tuberculosis nor lymphoma were found. Chylothorax is a potential complication of this disease.

Informed consent

During hospitalization, verbal informed consent was requested from the patient for a potential publication of his case.

Funding

Self-financed.

Authors’ contributions

FLJ: devised the publication, collected the information, conducted a bibliographic search, prepared the first version, and reviewed and approved the final version.

SRR: collected the information, conducted a bibliographic search, prepared the first version and reviewed and approved the final version.

SCR: reviewed and approved the first version and reviewed and approved the final version.

ADR: collected the information, conducted a bibliographic search, prepared the first version and reviewed and approved the final version.

Conflicts of interest

FLJ and SRR were the patient's treating physicians.

References
[1]
M. Bartoletti, O. Azap, A. Barac, L. Bussini, O. Ergonul, R. Krause, et al.
ESCMID COVID-19 living guidelines: drug treatment and clinical management.
Clin Microbiol Infect, 28 (2022), pp. 222-238
[2]
F. Satriano, G. Scioscia, M.G. Cagnazzo, F. Maci, L. Refolo, P. Fuso, et al.
Chylothorax found in a patient with COVID-19.
Respirol Case Rep, 10 (2022), pp. e0836
[3]
F. Türkdoğan, A. Coskun, K.A. Türkdoğan.
Frequency of spontaneous hemothorax, chylothorax, pleural, and pericardial effusion in patients who had thorax tomography during prepandemic and pandemic period.
Copyright © 2023. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos