The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients

<i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural ti...
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Autor*in:	Chung-Shu Lee [verfasserIn] Li-Chung Chiu [verfasserIn] Chih-Hao Chang [verfasserIn] Fu-Tsai Chung [verfasserIn] Shih-Hong Li [verfasserIn] Chun-Liang Chou [verfasserIn] Chih-Wei Wang [verfasserIn] Shu-Min Lin [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	tuberculosis pleuroscope mycobacterial culture

Übergeordnetes Werk:	In: Medicina - MDPI AG, 2016, 58(2022), 9, p 1280
Übergeordnetes Werk:	volume:58 ; year:2022 ; number:9, p 1280

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/medicina58091280

Katalog-ID:	DOAJ005562775

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520			\|a <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination.
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allfields	10.3390/medicina58091280 doi (DE-627)DOAJ005562775 (DE-599)DOAJ214b3efc88d94d78958aebad7a0761df DE-627 ger DE-627 rakwb eng R5-920 Chung-Shu Lee verfasserin aut The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination. tuberculosis pleuroscope mycobacterial culture Medicine (General) Li-Chung Chiu verfasserin aut Chih-Hao Chang verfasserin aut Fu-Tsai Chung verfasserin aut Shih-Hong Li verfasserin aut Chun-Liang Chou verfasserin aut Chih-Wei Wang verfasserin aut Shu-Min Lin verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1280 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1280 https://doi.org/10.3390/medicina58091280 kostenfrei https://doaj.org/article/214b3efc88d94d78958aebad7a0761df kostenfrei https://www.mdpi.com/1648-9144/58/9/1280 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1280
spelling	10.3390/medicina58091280 doi (DE-627)DOAJ005562775 (DE-599)DOAJ214b3efc88d94d78958aebad7a0761df DE-627 ger DE-627 rakwb eng R5-920 Chung-Shu Lee verfasserin aut The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination. tuberculosis pleuroscope mycobacterial culture Medicine (General) Li-Chung Chiu verfasserin aut Chih-Hao Chang verfasserin aut Fu-Tsai Chung verfasserin aut Shih-Hong Li verfasserin aut Chun-Liang Chou verfasserin aut Chih-Wei Wang verfasserin aut Shu-Min Lin verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1280 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1280 https://doi.org/10.3390/medicina58091280 kostenfrei https://doaj.org/article/214b3efc88d94d78958aebad7a0761df kostenfrei https://www.mdpi.com/1648-9144/58/9/1280 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1280
allfields_unstemmed	10.3390/medicina58091280 doi (DE-627)DOAJ005562775 (DE-599)DOAJ214b3efc88d94d78958aebad7a0761df DE-627 ger DE-627 rakwb eng R5-920 Chung-Shu Lee verfasserin aut The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination. tuberculosis pleuroscope mycobacterial culture Medicine (General) Li-Chung Chiu verfasserin aut Chih-Hao Chang verfasserin aut Fu-Tsai Chung verfasserin aut Shih-Hong Li verfasserin aut Chun-Liang Chou verfasserin aut Chih-Wei Wang verfasserin aut Shu-Min Lin verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1280 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1280 https://doi.org/10.3390/medicina58091280 kostenfrei https://doaj.org/article/214b3efc88d94d78958aebad7a0761df kostenfrei https://www.mdpi.com/1648-9144/58/9/1280 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1280
allfieldsGer	10.3390/medicina58091280 doi (DE-627)DOAJ005562775 (DE-599)DOAJ214b3efc88d94d78958aebad7a0761df DE-627 ger DE-627 rakwb eng R5-920 Chung-Shu Lee verfasserin aut The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination. tuberculosis pleuroscope mycobacterial culture Medicine (General) Li-Chung Chiu verfasserin aut Chih-Hao Chang verfasserin aut Fu-Tsai Chung verfasserin aut Shih-Hong Li verfasserin aut Chun-Liang Chou verfasserin aut Chih-Wei Wang verfasserin aut Shu-Min Lin verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1280 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1280 https://doi.org/10.3390/medicina58091280 kostenfrei https://doaj.org/article/214b3efc88d94d78958aebad7a0761df kostenfrei https://www.mdpi.com/1648-9144/58/9/1280 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1280
allfieldsSound	10.3390/medicina58091280 doi (DE-627)DOAJ005562775 (DE-599)DOAJ214b3efc88d94d78958aebad7a0761df DE-627 ger DE-627 rakwb eng R5-920 Chung-Shu Lee verfasserin aut The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination. tuberculosis pleuroscope mycobacterial culture Medicine (General) Li-Chung Chiu verfasserin aut Chih-Hao Chang verfasserin aut Fu-Tsai Chung verfasserin aut Shih-Hong Li verfasserin aut Chun-Liang Chou verfasserin aut Chih-Wei Wang verfasserin aut Shu-Min Lin verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1280 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1280 https://doi.org/10.3390/medicina58091280 kostenfrei https://doaj.org/article/214b3efc88d94d78958aebad7a0761df kostenfrei https://www.mdpi.com/1648-9144/58/9/1280 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1280
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authorswithroles_txt_mv	Chung-Shu Lee @@aut@@ Li-Chung Chiu @@aut@@ Chih-Hao Chang @@aut@@ Fu-Tsai Chung @@aut@@ Shih-Hong Li @@aut@@ Chun-Liang Chou @@aut@@ Chih-Wei Wang @@aut@@ Shu-Min Lin @@aut@@
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callnumber-first	R - Medicine
author	Chung-Shu Lee
spellingShingle	Chung-Shu Lee misc R5-920 misc tuberculosis misc pleuroscope misc mycobacterial culture misc Medicine (General) The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients
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topic_title	R5-920 The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients tuberculosis pleuroscope mycobacterial culture
topic	misc R5-920 misc tuberculosis misc pleuroscope misc mycobacterial culture misc Medicine (General)
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title	The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients
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title_full	The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients
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title_sort	clinical experience of mycobacterial culture yield of pleural tissue by pleuroscopic pleural biopsy among tuberculous pleurisy patients
callnumber	R5-920
title_auth	The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients
abstract	<i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination.
abstractGer	<i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination.
abstract_unstemmed	<i<Background and Objectives:</i< Tuberculous pleurisy is a common extrapulmonary TB that poses a health threat. However, diagnosis of TB pleurisy is challenging because of the low positivity rate of pleural effusion mycobacterial culture and difficulty in retrieval of optimal pleural tissue. This study aimed to investigate the efficacy of mycobacterial culture from pleural tissue, obtained by forceps biopsy through medical pleuroscopy, in the diagnosis of TB pleurisy. <i<Materials and Methods:</i< This study retrospectively enrolled 68 TB pleurisy patients. Among them, 46 patients received semi-rigid pleuroscopy from April 2016 to March 2021 in a tertiary hospital. We analyzed the mycobacterial culture from pleural tissue obtained by forceps biopsy. <i<Results:</i< The average age of the study participants was 62.8 years, and 64.7% of them were men. In the pleuroscopic group, the sensitivity of positive <i<Mycobacterium tuberculosis</i< (M. TB) cultures for sputum, pleural effusion, and pleural tissue were 35.7% (15/42), 34.8% (16/46), and 78.3% (18/23), respectively. High sensitivities of M. TB culture from pleural tissue were up to 94.4% and 91.7% when pleural characteristic patterns showed adhesion lesions and both adhesion lesions and presence of micronodules, respectively. <i<Conclusions:</i< M. TB culture from pleural tissue should be considered a routine test when facing unknown pleural effusion during pleuroscopic examination.
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title_short	The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients
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The Clinical Experience of Mycobacterial Culture Yield of Pleural Tissue by Pleuroscopic Pleural Biopsy among Tuberculous Pleurisy Patients

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