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  • Title: [A case of tuberculous pleurisy with a rapid decrease in pleural effusion].
    Author: Tokuyasu H, Watanabe E, Okazaki R, Touge H, Kawasaki Y, Isowa N, Eiji S.
    Journal: Nihon Kokyuki Gakkai Zasshi; 2007 Nov; 45(11):884-9. PubMed ID: 18051793.
    Abstract:
    We report a rare case of tuberculous pleurisy with a rapid decrease in pleural effusion by levofloxacin. A 73-year-old woman admitted due to dyspnea on exertion of one month duration. She had aortitis syndrome which had been treated with oral prednisolone for 6 months. Chest roentgenogram showed left pleural effusion, which was exudative with lymphocyte predominance and an increased level of adenosine deaminase. One-week administration of levofloxacin remarkably decreased effusion. as demonstrated on chest roentgenogram 2 weeks after treatment. Since Mycobacterium tuberculosis was isolated in culture from bronchial lavage fluid and sputum, we prescribed antituberculous therapy with isoniazid, rifampicin and ethambutol. resulting in complete resolution.
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