Open AccessChylothorax in a case of accelerated silicosis with pulmonary silicoproteinosis: A unique association
Author(s) -
Archana Sasi,
Ayush Goel,
Ashu Seith Bhalla,
Sudheer Arava,
Shubham Agarwal,
Ranveer Singh Jadon,
Naval Kishore Vikram
Publication year - 2020
Publication title -
the indian journal of occupational and environmental medicine/the indian journal of occupational and environmental medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.375
H-Index - 26
eISSN - 1998-3670
pISSN - 0973-2284
DOI - 10.4103/ijoem.ijoem_63_19
Subject(s) - silicosis , thoracentesis , chylothorax , medicine , bronchoalveolar lavage , pleural effusion , pneumoconiosis , sarcoidosis , pleural fluid , biopsy , respiratory failure , occupational disease , lung , pathology , surgery
A 32-year-old gentleman, a worker in a cement-manufacturing facility with suspected silica-induced lung disease presented with acutely worsening Type 1 respiratory failure. With a negative work-up for infectious causes and no further revelations on bronchoalveolar lavage fluid or endobronchial biopsy, it was a transbronchial biopsy that ultimately led us to a diagnosis of silicoproteinosis with accelerated silicosis. Interestingly, the patient had a pleural effusion which on thoracentesis showed chylous fluid-the first reported case of chylothorax in association with silicosis.