Author(s)

Souleymane Coulibaly^1*, Marius Pembé Sanou², Kassim Sidibe², Ladji Mohamed Diaby³, Lassina Diallo³, Daouda Amara Traore³, Salif Kone⁴, Ami Diarra², Salif Sow², Abasse Sanogo³, Salif Satao⁴, Mamadou Cherif Kante², Mahamadou Coulibaly², Aminata Bagayoko³, Soumaila Keita²

¹Polyclinique des Armées, Kati, Mali.
²Centre Médical Principal de la Gendarmerie Nationale, Bamako, Mali.
³Centre Médico-Chirurgical des Armées, Bamako, Mali.
⁴Service de Pneumologie CHU Point G, Bamako, Mali.

Introduction: Spontaneous pneumothorax is a rare but serious complication of tuberculosis. Miliary tuberculosis (MT) is a severe form of tuberculosis secondary to hematogenous spread of Mycobacterium tuberculosis. Objective: To report a case of MT complicated by pneumothorax. Methodology: This was a 25-year-old patient, farmer, followed up at the Pneumo-phtisiology department of the CHU du Point G for MT whose condition was improving after the introduction of anti-tuberculosis chemotherapy. He consulted again after experiencing chest pain. Clinical and imaging revealed a Spontaneous pneumothorax complicating MT. The treatment combined anti-tuberculosis chemotherapy, chest drainage and respiratory physiotherapy. Outcome was favorable with improvement of clinical and radiological signs. Conclusion: Pneumothorax complicating MT requires a reflective diagnostic approach and rapid management to improve its prognosis.

Spontaneous Pneumothorax, Miliary Tuberculosis, Antituberculous Chemotherapy, Pleural Drainage, Respiratory Physiotherapy

Coulibaly, S. , Sanou, M. , Sidibe, K. , Diaby, L. , Diallo, L. , Traore, D. , Kone, S. , Diarra, A. , Sow, S. , Sanogo, A. , Satao, S. , Cherif Kante, M. , Coulibaly, M. , Bagayoko, A. and Keita, S. (2023) Spontaneous Pneumothorax Complicating Miliary Tuberculosis: About a Case at the “Centre Medical Principal De La Gendarmerie Nationale Du Mali”. Journal of Tuberculosis Research, 11, 67-73. doi: 10.4236/jtr.2023.112007.