A massive hemorrhagic pleural effusion does not exclude the diagnosis of tuberculosis: a case report.

Mermigkis C, Kopanakis A, Psathakis K, Karagiannidis N, Kastanakis M, Patentalakis M, Amfilochiou A, Patentalakis G, Polychronopoulos V
Cases journal · 2009 · doi:10.4076/1757-1626-2-8707 · PMID:19830095 · PMC2740155
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Abstract

We report a case of an immunocompetent 18-year-old man with a massive hemorrhagic, exudative, lymphocytic pleural effusion. Blind transthoracic pleural biopsy showed granuloma formation, while the pleural fluid culture was positive for Mycobacterium tuberculosis, confirming the diagnosis of primary tuberculous pleuritis. A massive hemorrhagic pleural effusion is extremely rare in tuberculosis, but tuberculosis is a very protean disease and should always be included in the differential diagnosis of pleural effusions.

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