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ISSN: Print -2349-0977, Online - 2349-4387
CASE IN POINT - CLINICS IN PULMONOLOGY
Year : 2016  |  Volume : 3  |  Issue : 2  |  Page : 104-106

Flummoxing paradox of contralateral pleural effusion developing during successful drug treatment of a tubercular pleural effusion


Department of Pulmonary, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Correspondence Address:
Pranav Ish
Department of Pulmonary, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2349-0977.197216

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Tuberculosis often manifests as pleural effusion which generally shows clinical and radiological response to antitubercular therapy. However, it is not common to find a paradoxical contralateral effusion to develop despite successful therapy, especially in immuno competent treatment responsive patients with no other etiology of the same. We report such a rare case in which the patient presented with left-sided pleural effusion, which resolved with treatment, only to follow-up with massive right-sided pleural effusion which resolved spontaneously on continuation of antitubercular therapy.


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