Flummoxing Paradox of Tuberculous Pleural Effusion
Paradoxical phenomenon is known to occur in cases of tuberculous lymphadenopathy and intracranial
tuberculomas during treatment. Paradoxical response is referred to an unusual expansion of existing
lesion or formation of a new lesion during successful anti-tubercular chemotherapy. This is not so
common in cases of pleural effusion due to tuberculosis. A case of young immmunocompetent female
is described who developed pleural effusion on opposite side within 10 days of anti-tubercular
treatment being given for pleural effusion on one side. Cytobiochemistry of the subsequent fluid from
contralateral side was different from the former effusion. Ultimately both resolved on continuation of
same treatment.
Author (s) Details
Sushil Upadhyay
Holy Family Hospital Delhi, India.
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