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Flummoxing Paradox of Pleural Effusion: Contralateral Effusion with Different Cytobiochemical Features Evolving on Anti-tubercular Chemotherapy

Sushil Upadhyay

Paradoxical phenomenon is known to occur in cases of tubercolous lymphadenopathy and intracranial tuberculomas during treatment. This is not so common in cases of pleural effusion due to tuberculosis. Case of young immmunocompetent female is described who developed pleural effusion on opposite side within 10 days of anti-tubercular treatment being taken for pleural effusion on one side. Cytobiochemistry of the subsequent fluid was different from the former effusion. Ultimately both resolved on continuation of same treatment.