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Solitary pleural nodule: a late paradoxical reaction to antituberculosis treatment
D Varona Porres1, E Pallisa1, A L Sánchez1
1Servicio de Radiodiagnóstico, Hospital Vall d'Hebron, Barcelona, España.
Abstract:
We present the case of a young woman with a history of previously treated pleural and pulmonary tuberculosis referred to our hospital for chest pain and a single pleural nodule seen on plain chest films and chest CT. Cultures of inflammatory-type material obtained by US-guided fine-needle biopsy of the pleural lesion were positive for Mycobacterium tuberculosis complex. The diagnosis was a paradoxical reaction to antituberculosis treatment; after 6 more months of treatment, the pleural lesion and chest pain disappeared.
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