A successful intra-pleural fibrinolytic therapy with alteplase in a patient with empyematous multiloculated chylothorax

Mohamed Faisal¹, Rayhan Amisero¹, Nurashikin Mohammad²
¹Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
²Medical Department, Universiti Sains Malaysia

Chylothorax is a collection of chyle in the pleural cavity resulting from leakage of lymphatic vessels, usually from the thoracic duct. In majority of cases, chylothoraxis a bacteriostatic pleural effusion. Incidence of infected or even empyematous chylothorax are not common. Here, we report a case of a 57-year-old man with end stage renal disease and complete central venous stenosis who presented with recurrent right-sided chylothorax. It was complicated with sepsis and multilocated empyema and treated successfully with intra-pleural fibrinolytic therapy using alteplase.

Keywords: Chylothorax, Empyema, Intra-Pleural Fibrinolytic

Mohamed Faisal, Rayhan Amisero, Nurashikin Mohammad. A successful intra-pleural fibrinolytic therapy with alteplase in a patient with empyematous multiloculated chylothorax. Eastern J Med. 2019; 24(3): 379-382

Sorumlu Yazar: Mohamed Faisal, Malaysia

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