Clinical Study of  Pneumothorax with or without fluid

Dr. N. Gopichand; Dr. Ch.Sumalata; Dr.D.Sarada

Volume : VI, Issue : II, February - 2016

Clinical Study of Pneumothorax with or without fluid

Dr. N. Gopichand, Dr. Ch. Sumalata, Dr. D. Sarada

Abstract :

Introduction: Pneumothorax is defined as the accumulation of air in the pleural space with secondary collapse of the surrounding lung. Pneumothorax is a common medical emergency and is a diagnostic and therapeutic challenge to the physician. The condition can itself be serious and crippling and at times may endanger the life of the patient, because of the respiratory insufficiency and cardio–respiratory embarrassment or due to associated complications. Aims and Objectives: To study the cause of Pneumothorax and their association with TB and HIV. Methods: Sixty consecutive patients, diagnosed as Pneumothorax after clinical examination and radiological investigations were considered for the study. Discussion: Fifty five cases were due to secondary Pneumothorax and five were primary Pneumothorax. Twenty one cases had TB aetiology (excluding TB–HIV co– infection). HIV was found in 21 cases of which co–infection of TB–HIV was seen in 15 cases, 6 had Pneumocystis jerovecci. Five had Pyogenic infection and 5 had Pneumothorax due to COPD. One case of Asthma, Amoebic abscess and Pancreatic pseudocyst presented with Pneumothorax. The most common aetiology in our study was TB (36 cases: 21 of TB and 15 due to TB–HIV infection). Conclusion: The most common cause of Pneumothorax in our study was found to be Tuberculosis.