청소년 폐결핵 치료 중 역설적 반응에 의해 이차적으로 발생한 흉막 삼출액
Secondary Pleural Effusion that Occurred as a Paradoxical Response during Treatment of Pulmonary Tuberculosis in Adolescence
- 조선대학교 의학연구원
- The Medical Journal of Chosun University
- 제39권 제4호
- 2014.12
- 318 - 323 (6 pages)
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.
서론
증례
고찰