RT Journal Article
SR Electronic
T1 Development of contralateral pleural effusion during chemotherapy for tuberculous pleurisy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 574
OP 576
VO 21
IS 6
A1 Musa A. Al-Ali
A1 Nidal M. Almasri
YR 2000
UL http://smj.org.sa/content/21/6/574.abstract
AB Paradoxical worsening of tuberculous lesions, despite effective chemotherapy, has been reported in intracranial tuberculomas, lymph nodes, pulmonary disease, and tuberculous pleurisy. However, development of contralateral pleural effusion during treatment of tuberculous pleurisy is very rare. We report the case of a 22 year old female patient who presented with right sided pleural effusion and was treated with antituberculous drugs. Four weeks later although her right sided pleural effusion was subsiding she developed a left sided pleural effusion. Closed pleural biopsy on the left side showed granulomatous inflammation with early caseation. Antituberculous drugs were continued and a short course of oral prednisolone was added. She recovered completely and her chest x-ray became normal after finishing her treatment.