Persistent pleural effusion

 
print

Author:
Question
A 12 years old boy presented with fever and dry cough for 1 month. He was detected to have right sided pleural effusion. His elder brother had fibrocavitatory TB and was on antituberculous therapy {ATT} since 6 months. The patient was started on ATT. However effusion still persisted for 5 months which subsequently decreased and the child had to take total 9 months of ATT.
Expert Opinion :
insufficient evidence to determine whether steroids are Though steroids are effective in the treatment of tuberculous pleural effusions. Collectively, the trials confirm an initial benefit in rapid resolution of effusion and symptom control. However, no lasting advantage was found, in particular none for the development of fibrosis and pleural thickening. Thus adjunct therapy is not routinely required unless there are significant systemic symptoms of fever or a particularly large effusion.
Answer Discussion :
A
Alexandra
bubble
yes indeed
9 months ago
D
D K Ganguly
bubble
Should have been started if effusion persisted after two months of proper ATT.
10 months ago

View More Comments
ask doctor
Ask a Doctor
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.