Tuberc Respir Dis > Volume 63(3); 2007 > Article
Tuberculosis and Respiratory Diseases 2007;63(3):268-272.
DOI:    Published online September 1, 2007.
A Case of Tuberculous Pleural Effusion Developed after Percutaneous Needle Biopsy of a Solitary Pulmonary Nodule.
Ho Seok Koo, Tae Kyun Kim, Sung Kil Park, Sang Bun Choi, Ae Ran Kim, Sang Bong Choi, Hoon Jung, I Nae Park, Jin Won Hur, Hyuk Pyo Lee, Ho Kee Yum, Soo Jeon Choi, Suk Jin Choi, Hyun Kyung Lee
1Departments of Internal Medicine, College of Medicine, Inje University, Busan, Korea.
2Departments of Radiology, College of Medicine, Inje University, Busan, Korea.
A tuberculous pleural effusion may be a sequel to a primary infection or represent the reactivation of pulmonary tuberculosis. It is believed to result from a rupture of a subpleural caseous focus in the lung into the pleural space. It appears that delayed hypersensitivity plays a large role in the pathogenesis of a tuberculous pleural effusion. We encountered a 52 years old man with pleural effusion that developed several days after a CT guided percutaneous needle biopsy of a solitary pulmonary nodule. He was diagnosed with TB pleurisy. It is believed that his pleural effusion probably developed due to exposure of the parenchymal tuberculous focus into the pleural space during the percutaneous needle biopsy. This case might suggest one of the possible pathogeneses of tuberculous pleural effusion.
Key Words: Tuberculous pleural effusion, Percutaneous needle biopsy, Solitary pulmonary nodule

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