Management of chronic pleural tuberculosis and non-tuberculous empyema in the 21st century

Perez Moreno, Pablo; Bello, Angelica

Publication:
Management of chronic pleural tuberculosis and non-tuberculous empyema in the 21st century

dc.contributor.author	Perez Moreno, Pablo
dc.contributor.author	Bello, Angelica
dc.date.accessioned	2025-01-20T14:21:13Z
dc.date.available	2025-01-20T14:21:13Z
dc.date.issued	2024
dc.description.abstract	This review addresses complexities in managing pleural tuberculosis (TB) and non-TB empyema. Historically, TB, often termed “the mother of thoracic surgery”, has witnessed a dramatic transformation from invasive surgical interventions to the dominance of medical therapy with the advent of effective anti- TB agents in the mid-20th century. This shift marked a pivotal moment in the treatment landscape, with medical therapy taking precedence and surgical methods reserved for diagnostic purposes or complications. In contrast, the history of non-TB empyema, dating back to Aristotle, evolved from open drainage and open surgery to minimally invasive surgery and fibrinolytic therapy. The review delves into the nuances of these conditions, exploring their clinical manifestations and the state-of-the-art management strategies that have emerged over time. Advancements in imaging modalities, such as computed tomography (CT), complemented by diagnostic laboratory techniques like the GeneXpert MTB/RIF assay, have revolutionized the diagnosis of TB, enhancing accuracy and expediting the process. The review also highlights the distinct clinical presentations of pleural TB and non-TB empyema, underscoring the challenges and intricacies in their management. It thoroughly explores the historical evolution, current diagnostic approaches, and advanced management strategies for these conditions, offering valuable insights for the learner.
dc.description.version	Versión Publicada
dc.identifier.citation	Pérez P, Bello A. Management of chronic pleural tuberculosis and non-tuberculous empyema in the 21st century. Shanghai Chest 2024;8:3
dc.identifier.doi	https://doi.org/10.21037/shc-23-32
dc.identifier.uri	https://hdl.handle.net/11447/9678
dc.language.iso	en
dc.subject	Empyema
dc.subject	Pleural Tuberculosis (pleural TB)
dc.subject	Pleural empyema
dc.title	Management of chronic pleural tuberculosis and non-tuberculous empyema in the 21st century
dc.type	Article
dcterms.accessRights	Acceso Abierto
dcterms.source	Shanghai Chest
dspace.entity.type	Publication
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relation.isAuthorOfPublication.latestForDiscovery	d24481fe-ab73-4d4b-91bd-0eb3f120861a