Flummoxing paradox of contralateral pleural effusion developing during successful drug treatment of a tubercular pleural effusion

Pranav Ish, Shibdas Chakrabarti, Dipak Bhattacharya

Astrocyte 2016 3(2):104-106

Tuberculosis often manifests as pleural effusion which generally shows clinical and radiological response to antitubercular therapy. However, it is not common to find a paradoxical contralateral effusion to develop despite successful therapy, especially in immuno competent treatment responsive patients with no other etiology of the same. We report such a rare case in which the patient presented with left-sided pleural effusion, which resolved with treatment, only to follow-up with massive right-sided pleural effusion which resolved spontaneously on continuation of antitubercular therapy.

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