Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
Search Ahead of print Current Issue Archives Instructions Subscribe e-Alerts Login 
Home Email this article link Print this article Bookmark this page Decrease font size Default font size Increase font size


 
Table of Contents   
LETTER TO THE EDITOR
Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 182
Polymorphonuclear-rich and lymphocyte-rich tuberculous pleural effusion


1 Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, Ryugasaki, Japan
2 Division of Respiratory Medicine, Faculty of Medicine, University of Tsukuba, Ryugasaki, Japan
3 Division of Respiratory Medicine, Ryugasaki Saiseikai Hospital, Ryugasaki, Japan

Date of Submission22-Apr-2020
Date of Acceptance04-Jun-2020
Date of Web Publication18-Jun-2020

Correspondence Address:
Dr. Hiroaki Satoh
Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, Ryugasaki
Japan
Login to access the Email id


DOI: 10.4103/atm.ATM_172_20

Rights and Permissions



How to cite this article:
Okauchi S, Kagohashi K, Shiozawa T, Miyazaki K, Satoh H. Polymorphonuclear-rich and lymphocyte-rich tuberculous pleural effusion. Ann Thorac Med 2020;15:182

How to cite this URL:
Okauchi S, Kagohashi K, Shiozawa T, Miyazaki K, Satoh H. Polymorphonuclear-rich and lymphocyte-rich tuberculous pleural effusion. Ann Thorac Med [serial online] 2020 [cited 2020 Sep 19];15:182. Available from: http://www.thoracicmedicine.org/text.asp?2020/15/3/182/287140




Sir,

We read with interest the article entitled, “clinical and pathological differences between polymorphonuclear-rich and lymphocyte-rich tuberculous pleural effusion” by Zhao et al.[1] We have been particularly interested in various pleurisy including tuberculous and malignant pleuritis,[2],[3] so we would like to discuss four issues. First, the authors showed the results of 232 patients with definitive diagnosis. Please let us know why the authors evaluated the significance of analyzing the pleural effusions of these patients together, although the authors collected patients with definitive and probable patients separately. Were the results similar to those in the 304 patients presented? Second, we do appreciate hearing from the authors how they evaluated the possible outcome of mixed infections with common bacteria other than mycobacteria. In other words, how did the authors rule out the possibility of infection by common bacteria other than mycobacteria? Third, the authors discussed the relationship between time course and cellular changes in pleural effusion with reference to the article by Vorster et al.[4] We do suppose that different timing of collecting cells in the pleural fluid might play a major role in the results obtained in this study. How can we clarify the results obtained in this study, taking into account the fact that tuberculous pleurisy does not have a clear onset? Fourth, if there are neutrophil- and lymphocyte-dominant pleurisy, we would like to know how the authors evaluate this pathological significance and its impact on treatment.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Zhao T, Chen B, Xu Y, Qu Y. Clinical and pathological differences between polymorphonuclear-rich and lymphocyte-rich tuberculous pleural effusion. Ann Thorac Med 2020;15:76-83.  Back to cited text no. 1
  [Full text]  
2.
Naito T, Ohtsuka M, Ishikawa H, Satoh H, Hasegawa S. Lymphocyte chemotactic factor in tuberculous pleural effusion. Kekkaku 1998;73:307-14.  Back to cited text no. 2
    
3.
Ohara G, Iguchi K, Satoh H. VATS and intrapleural fibrinolytic therapy for parapneumonic empyema. Ann Thorac Cardiovasc Surg 2018;24:263-4.  Back to cited text no. 3
    
4.
Vorster MJ, Allwood BW, Diacon AH, Koegelenberg CF. Tuberculous pleural effusions: Advances and controversies. J Thorac Dis 2015;7:981-91.  Back to cited text no. 4
    




 

Top
Print this article  Email this article
 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (327 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed171    
    Printed4    
    Emailed0    
    PDF Downloaded69    
    Comments [Add]    

Recommend this journal