Grand Rounds

Tuberculous Pleural Effusion- Residual Pleural Thickening


Lavina Desai*, Ira Shah**
* Seth G S Medical College, Mumbai, India, and **Pediatric Infectious Diseases, Levioza Health Care, Mumbai, India.

Address for Correspondence: Lavina Desai, Seth G S Medical College, India. Email: lavinadesai16@gmail.com


Clinical Problem:
A 7 year old girl presented with fever for one month. Father had been treated for pulmonary tuberculosis (TB) 6 months ago. She was detected to have right sided pleural effusion with pneumonia on chest X-ray. She underwent pleural tap and pleural fluid white blood cell count was 2500/cumm (58% lymphocytes) with adenosine deaminase (ADA) of 93.2 U/L. She was started on anti-tuberculous therapy (ATT). She responded to the same. ATT was stopped after 8 months of treatment. However, chest X-ray showed small bleb at the right which was suspected to be due to pleural thickening.

How long does it take to get radiological resolution with tuberculous pleural effusion?


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