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KMID : 1148020140390040318
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조선대학교의대논문집
2014 Volume.39 No. 4 p.318 ~ p.323
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Secondary Pleural Effusion that Occurred as a Paradoxical Response during Treatment of Pulmonary Tuberculosis in Adolescence
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Lee Seung-Joon
Cha Min-A
Woo Yeol-Ryoon
Kim Hyun-Jin
Ahn Yeon-Hwa
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Abstract
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A paradoxical response in tuberculosis is defined as clinical and radiological worsening of previous lesions or development of new lesions after initial improvement during the process of anti-tuberculous treatment. The authors report on a patient who developed massive pleural effusion as a paradoxical response after 8 weeks of anti-tuberculous treatment. The patient’s symptoms were improved with thoracostomy without any change of anti-tuberculous medications. If symptoms worsen during the process of anti-tuberculous treatment, drug resistance, non-compliance, or other diseases should be excluded first. If it is regarded as a paradoxical response, the treatment plan need not be changed except for additional conservative treatment.
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KEYWORD
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Tuberculosis, Paradoxical response, Pleural effusion, Tuberculosis pleurisy, Paradoxical reaction
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