An unusual case of a pleural effusion with an abdominal mass.

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dc.contributor.authorAcharya, Preetam Ren_US
dc.contributor.authorSahoo, Rameshchandraen_US
dc.contributor.authorBaliga, Poornimaen_US
dc.date.accessioned2008-07-24en_US
dc.date.accessioned2009-06-01T12:21:17Z
dc.date.available2008-07-24en_US
dc.date.available2009-06-01T12:21:17Z
dc.date.issued2008-07-24en_US
dc.description.abstractA 38-year-old man presented to us with a left sided pleural effusion. Pleural fluid was aspirated and analysis revealed it to be an exudate with predominant lymphocytes and an elevated ADA level. He was discharged on antituberculous treatment. Patient returned with re-accumulation of pleural fluid. Computed tomography done in our institute picked up not only parenchymal disease in the lung which was not evident on chest radiographs but also picked up an abdominal mass in the left renal fossa. Pathological examination of excised mass revealed its tuberculous nature. The repeated recollection of pleural fluid was attributed to a "paradoxical response"; the patient was reassured and his anti-tuberculous treatment continued. Recognition of the fact that evidence of tuberculosis at distant sites may occasionally be needed to substantiate the diagnosis of tuberculous pleural effusion in a difficult and bacteriologically "negative" case prompted us to report this case.en_US
dc.description.affiliationDepartment of Tuberculosis & Respiratory Diseases, Kasturba Medical College & Hospital, N. G Road, Attavara, Mangalore-575 001, Karnataka. dokpreet@yahoo.co.inen_US
dc.identifier.citationAcharya PR, Sahoo R, Baliga P. An unusual case of a pleural effusion with an abdominal mass. Indian Journal of Tuberculosis. 2008 Jul; 55(3): 153-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/110488
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/ibr/ibrai.shtmlen_US
dc.subject.meshAdulten_US
dc.subject.meshAntitubercular Agents --therapeutic useen_US
dc.subject.meshDrainageen_US
dc.subject.meshDrug Therapy, Combinationen_US
dc.subject.meshEthambutol --therapeutic useen_US
dc.subject.meshHumansen_US
dc.subject.meshIsoniazid --therapeutic useen_US
dc.subject.meshMaleen_US
dc.subject.meshPleural Effusion --diagnosisen_US
dc.subject.meshPyrazinamide --therapeutic useen_US
dc.subject.meshRifampin --therapeutic useen_US
dc.subject.meshTomography, X-Ray Computeden_US
dc.subject.meshTuberculosis, Pulmonary --complicationsen_US
dc.subject.meshTuberculosis, Renal --complicationsen_US
dc.titleAn unusual case of a pleural effusion with an abdominal mass.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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