Back to Search
Start Over
Elevated Adenosine Dehydrogenase (ADH) and Positive Tuberculin Test Firstly Misdiagnosed as Tuberculous Pleural Effusion Finally Proved as Pleural Mesothelial Sarcoma by Thoracoscopic Biopsy Pathology: a Case Report and Literature Review
- Source :
- Clinical laboratory. 65(10)
- Publication Year :
- 2019
-
Abstract
- Background In China, tuberculous pleural effusion is the most common cause for pleural effusion. Elevated ADH and positive tuberculin test usually are characteristic of tuberculous pleural effusion. We reported a 71-year-old male patient with elevated ADH and positive tuberculin test firstly misdiagnosed as tuberculous pleural effusion finally proven as pleural mesothelial sarcoma by thoracoscopic pathology. Methods Appropriate laboratory tests and thoracentesis were carried out. Thoracoscopy and pathological biopsy were performed to differentiate tuberculous pleural effusion. Results Chest CT showed right pleural effusion. ADH in pleural effusion was over 45 U/L and PPD test was positive. No abnormal cells were found in pleural effusion pathology. Pathology of thoracoscopic biopsy proved pleural mesothelioma. Conclusions Elevated ADH and positive tuberculin test are not a specific index for tuberculosis and thoracoscopic biopsy pathology is crucial for differential diagnosis.
- Subjects :
- Male
Mesothelioma
Pathology
medicine.medical_specialty
Tuberculosis
Adenosine
Lung Neoplasms
Pleural effusion
medicine.medical_treatment
Biopsy
Thoracentesis
General Biochemistry, Genetics and Molecular Biology
Diagnosis, Differential
Thoracoscopy
medicine
Humans
Diagnostic Errors
Pathological
Aged
medicine.diagnostic_test
business.industry
Tuberculin Test
Mesothelioma, Malignant
Sarcoma
Tuberculosis, Pleural
respiratory system
medicine.disease
respiratory tract diseases
Pleural Effusion
Differential diagnosis
business
Oxidoreductases
Subjects
Details
- ISSN :
- 14336510
- Volume :
- 65
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Clinical laboratory
- Accession number :
- edsair.doi.dedup.....316947bd1922f8bfa58fad5f6d2dcd8e