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Contra-lateral paradoxical pleural effusion during antituberculous chemotherapy.

Chopra V, Singh U, Chopra D - Lung India (2008)

Bottom Line: A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion.This effusion seemed to be a paradoxical response as it resolved on follow up.

View Article: PubMed Central - PubMed

Affiliation: Deptt. of Chest & Tuberculosis, Govt. Medical College, Patiala, Punjab, India.

ABSTRACT
A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion. This effusion seemed to be a paradoxical response as it resolved on follow up.

No MeSH data available.


Related in: MedlinePlus

Xray chest PA view showing heterogeneous opacity in the right upper zone with blunting of the right costophrenic angle.
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Figure 0001: Xray chest PA view showing heterogeneous opacity in the right upper zone with blunting of the right costophrenic angle.

Mentions: A 24-year old male patient presented with complaints of cough with expectoration for one month, fever for 20 days and pain on the right side of the chest of five days duration. General physical examination revealed no abnormality. Examination of the chest revealed crepitations in the right infra-clavicular area and signs of right-sided pleural effusion. Chest radiograph showed a heterogeneous opacity in the right upper zones with blunting of the right costophrenic angle (fig. 1). Sputum examination was positive for acid-fast bacilli. Pleural fluid revealed straw colored exudative effusion with a predominance of lymphocytes. Patient was put on Category 1 treatment for tuberculosis as per Revised National Tuberculosis Control Programme (RNTCP) guidelines. After eight days of start of therapy, the patient presented with sudden onset of pain on the left side of chest and dyspnoea. Chest radiograph revealed a pleural effusion on the left side (fig. 2). A straw colored effusion was aspirated which was exudative in nature with predominance of lymphocytes. The patient was reassured and ATT was continued as before. After 12 weeks of ATT there was significant clinical and radiological improvement bilaterally. A chest radiograph at 4 months showed clearing of the pleural effusion on the left side with blunting of right costo-phrenic angle probably due to thickening of the pleura (fig. 3).


Contra-lateral paradoxical pleural effusion during antituberculous chemotherapy.

Chopra V, Singh U, Chopra D - Lung India (2008)

Xray chest PA view showing heterogeneous opacity in the right upper zone with blunting of the right costophrenic angle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822335&req=5

Figure 0001: Xray chest PA view showing heterogeneous opacity in the right upper zone with blunting of the right costophrenic angle.
Mentions: A 24-year old male patient presented with complaints of cough with expectoration for one month, fever for 20 days and pain on the right side of the chest of five days duration. General physical examination revealed no abnormality. Examination of the chest revealed crepitations in the right infra-clavicular area and signs of right-sided pleural effusion. Chest radiograph showed a heterogeneous opacity in the right upper zones with blunting of the right costophrenic angle (fig. 1). Sputum examination was positive for acid-fast bacilli. Pleural fluid revealed straw colored exudative effusion with a predominance of lymphocytes. Patient was put on Category 1 treatment for tuberculosis as per Revised National Tuberculosis Control Programme (RNTCP) guidelines. After eight days of start of therapy, the patient presented with sudden onset of pain on the left side of chest and dyspnoea. Chest radiograph revealed a pleural effusion on the left side (fig. 2). A straw colored effusion was aspirated which was exudative in nature with predominance of lymphocytes. The patient was reassured and ATT was continued as before. After 12 weeks of ATT there was significant clinical and radiological improvement bilaterally. A chest radiograph at 4 months showed clearing of the pleural effusion on the left side with blunting of right costo-phrenic angle probably due to thickening of the pleura (fig. 3).

Bottom Line: A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion.This effusion seemed to be a paradoxical response as it resolved on follow up.

View Article: PubMed Central - PubMed

Affiliation: Deptt. of Chest & Tuberculosis, Govt. Medical College, Patiala, Punjab, India.

ABSTRACT
A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion. This effusion seemed to be a paradoxical response as it resolved on follow up.

No MeSH data available.


Related in: MedlinePlus