Mesothelial Cells In Pleural Fluid Tb Or Not Tb

In contrast 65 3 of pleural fluid aspirates obtained from a control group of pati.

Mesothelial cells in pleural fluid tb or not tb.

Tb or not tb. This report concerns two cases of tuberculous pleural effusion in. The culture of the pleural fluid grew m tuberculosis. White blood cells wbc results generally are not diagnostic but most transudates have wbc counts less than 1000 cells µl whereas exudates generally have wbc counts greater than 50 000 cells µl.

Neutrophil dominant effusions are associated with empyema or pulmonary embolism. 1 the pleura is a serous membrane that covers the lung parenchyma mediastinum diaphragm and rib cages and is divided into the visceral and parietal pleura. Both the visceral and parietal pleurae are lined with a single layer of flat mesothelial cells that have some similarity of epithelial. Eighty five samples of pleural fluid obtained from 76 patients with biopsy proven tuberculous pleurisy were examined cytologically.

The patient was treated with a combination of six anti tb medications and was started on an antiretroviral regimen. 7 neutrophils 22 lymphocytes 60 macrophages and 10 mesothelial cells. 7 june 1980 sa medical journal 937 m esothelial cells in pleural fluid. Thus we were not surprised to find 16 percent of mesothelial cells in the pleural fluid.

Pleural effusion may occur at any stage of active tuberculosis. Hurwitz gladwyn leiman c. 1 the fluid is generally an exudate 2 characterized by a predominance of lymphocytes and a paucity or absence of mesothelial cells 3 4 5 in fact it has been concluded that the presence of numerous mesothelial cells almost excludes a diagnosis of tuberculosis. Pleural fluid lymphocytosis suggests tb sarcoidosis or malignancy.

There are certain cells that line the pleura the thin double layered lining which covers the lungs chest wall and diaphragm which are known as mesothelial cells other than the pleura mesothelial cells also form a lining around the heart pericardium and the internal surface of the abdomen peritoneum. Tuberculous pleurisy is the most frequent extrapulmonary manifestation of tuberculosis. The cytology showed reactive mesothelial cells and the differential cell count was as follows. Numerous reactive mesothelial cells were present in only 1 2 of specimens examined.

The cause of this transudative effusion is not quite clear but it would be unlikely due to tuberculosis or endoscopic esophageal sclerotherapy both of which usually give rise to exudative effusions. Mesothelial cells in pleural fluid. Shapiro summary eighty five samples of pleural fluid obtained from 76. Numerous reactive mesothelial cells were present in only 1 2 of.