[Spontaneous bilateral chylothorax revealing disseminated tuberculosis complicated by massive pulmonary embolism].

We report a case of bilateral chylothorax revealing diffuse tuberculosis. The clinical presentation was complicated by the apparition of a massive acute pulmonary embolism and an acute respiratory distress syndrome. Mycobacterium tuberculosis was isolated from the cultures of the bronchi aspiration of the bronchoscopic examination. With antituberculous chemotherapy, the course of the chylothorax was satisfactory.