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CASE REPORT
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| Tuberculous pleurisy: High adenosine deaminase level in cold abscess content |
| Ibrahim Koc1, Ersin Arslan2, Feridun Isik2, Öner Dikensoy1 |
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1Department of Pulmonary Diseases, Gaziantep University, Gaziantep, Turkey.
2Department of Thoracic Surgery, Gaziantep University, Gaziantep, Turkey.
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doi:10.5348/ijcri-2011-03-22-CR-2
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Address correspondence to: Dr. Öner Dikensoy Department of Pulmonary Diseases Gaziantep, Turkey Phone: +90-342-3606060 (76187 ext) Fax: +90-342-3606306 Email: dikensoy@yahoo.com |
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| How to cite this article: |
| Koc I, Arslan E, Isik F, Dikensoy Ö. Tuberculous pleurisy: High adenosine deaminase level in cold abscess content. International Journal of Case Reports and Images 2011;2(3):5-8. |
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Abstract
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Introduction:
Tuberculous pleurisy is one of the most common form of extrapulmonary tuberculosis (TB). Measurement of adenosine deaminase (ADA) level in the effusions is advocated to have a high diagnostic yield in the diagnosis of tuberculous pleurisy as well as pericardial and peritoneal effusions due to TB. The diagnostic yield of ADA measurement in other materials such as abscess content has never been published before.
Case Report: In this report we present a case of tuberculous pleurisy in whom ADA level in the pleural fluid was not higher than expected while it was very high in the drained material of cold abscess due to TB. Conclusion: To the best of our knowledge this is the first case study reporting the measurement of ADA in the content of a cold abscess due to TB. In conclusion, we suggest that ADA measurement in all kinds of liquid or caseous material other than effusions may have a diagnostic role in TB. | |
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Key Words:
Tuberculosis, Pleura, Adenosine deaminase, Effusions, Cold abscess
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Author Contributions:
Ibrahim Koc - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Ersin Arslan - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Feridun Isik - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Öner Dikensoy - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The author(s) declare no conflict of interests |
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Copyright:
© Ibrahim Koc et. al. 2010; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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