청소년 폐결핵 치료 중 역설적 반응에 의해 이차적으로 발생한 흉막 삼출액

• 영문명: Secondary Pleural Effusion that Occurred as a Paradoxical Response during Treatment of Pulmonary Tuberculosis in Adolescence
• 발행기관: 조선대학교 의학연구원
• 저자명: 이승준(Seung Joon Lee) 차민아(Min A Cha) 우열륜(Yeol Ryoon Woo) 김현진(Hyun Jin Kim) 안연화(Yeon Hwa Ahn)
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제4호, 318~323쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.12.31

영문 초록

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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키워드

Tuberculosis Paradoxical response Pleural effusion Tuberculosis pleurisy Paradoxical reaction