What is the most sensitive test for tuberculous pleural effusion: 1- adh>45. 2- AFB?
Understand the Problem
السؤال يسأل عن أكثر الاختبارات حساسية للكشف عن الانصباب الجنبي السلّي، ويعرض خيارين للإجابة (adh>45 أو AFB).
Answer
Histopathological examination of pleural biopsy.
The most sensitive test for diagnosing tuberculous pleural effusion is the histopathological examination of pleural biopsy with caseating granulomas and acid-fast bacilli (AFB).
Answer for screen readers
The most sensitive test for diagnosing tuberculous pleural effusion is the histopathological examination of pleural biopsy with caseating granulomas and acid-fast bacilli (AFB).
More Information
Histopathological examination is often more sensitive because it directly examines pleural tissue, allowing for the detection of specific structural changes and the presence of acid-fast bacilli.
Tips
A common mistake is relying solely on pleural fluid analysis without a biopsy, which may have lower sensitivity.
Sources
- Accuracy of polimerase chain reaction for the diagnosis of pleural ... - sciencedirect.com
- The tuberculous pleural effusion | European Respiratory Society - publications.ersnet.org
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