open access

Vol 88, No 5 (2020)
Clinical vignette
Submitted: 2020-03-29
Accepted: 2020-07-04
Published online: 2020-10-24
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A young non-smoker with high ADA pleural effusion. It’s not always tuberculosis

Gopal Chawla1, Amrit Pal Kansal2, Kunal Deokar1
DOI: 10.5603/ARM.a2020.0144
·
Pubmed: 33169822
·
Adv Respir Med 2020;88(5):464-465.
Affiliations
  1. All India Institute of Medical Sciences, Rajasthan, Jodhpur, India
  2. Government Medical College,Patiala, Patiala, India

open access

Vol 88, No 5 (2020)
CLINICAL VIGNETTES
Submitted: 2020-03-29
Accepted: 2020-07-04
Published online: 2020-10-24

Abstract

Lung cancer is posing an ever-increasing medical and social problem due to its increasing morbidity and mortality. Here we report a case of a young male who was being treated as tubercular pleural effusion but was ultimately diagnosed with non-small cell carcinoma. While considering the diagnosis of pleural effusion, in the context of country endemic for tuberculosis like India, it is not surprising that many clinicians rather prefer to consider pulmonary tuberculosis as the first differential, while keeping diagnosis of malignancy as the least likely differential diagnosis in the young patient.

Abstract

Lung cancer is posing an ever-increasing medical and social problem due to its increasing morbidity and mortality. Here we report a case of a young male who was being treated as tubercular pleural effusion but was ultimately diagnosed with non-small cell carcinoma. While considering the diagnosis of pleural effusion, in the context of country endemic for tuberculosis like India, it is not surprising that many clinicians rather prefer to consider pulmonary tuberculosis as the first differential, while keeping diagnosis of malignancy as the least likely differential diagnosis in the young patient.

Get Citation

Keywords

lung cancer; young; tuberculosis; ADA

About this article
Title

A young non-smoker with high ADA pleural effusion. It’s not always tuberculosis

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 5 (2020)

Article type

Clinical vignette

Pages

464-465

Published online

2020-10-24

DOI

10.5603/ARM.a2020.0144

Pubmed

33169822

Bibliographic record

Adv Respir Med 2020;88(5):464-465.

Keywords

lung cancer
young
tuberculosis
ADA

Authors

Gopal Chawla
Amrit Pal Kansal
Kunal Deokar

References (3)
  1. Ramalingam S, Pawlish K, Gadgeel S, et al. Lung cancer in young patients: analysis of a surveillance, epidemiology, and end results database. J Clin Oncol. 1998; 16(2): 651–657.
  2. Sekine I, Nishiwaki Y, Yokose T, et al. Young lung cancer patients in Japan: different characteristics between the sexes. Ann Thorac Surg. 1999; 67(5): 1451–1455.
  3. Subramanian J, Govindan R. Lung cancer in never smokers: a review. J Clin Oncol. 2007; 25(5): 561–570.

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