[A case of tuberculous pleurisy with a rapid decrease in pleural effusion].
We report a rare case of tuberculous pleurisy with a rapid decrease in pleural effusion by levofloxacin. A 73-year-old woman admitted due to dyspnea on exertion of one month duration. She had aortitis syndrome which had been treated with oral prednisolone for 6 months. Chest roentgenogram showed left pleural effusion, which was exudative with lymphocyte predominance and an increased level of adenosine deaminase. One-week administration of levofloxacin remarkably decreased effusion. as demonstrated on chest roentgenogram 2 weeks after treatment. Since Mycobacterium tuberculosis was isolated in culture from bronchial lavage fluid and sputum, we prescribed antituberculous therapy with isoniazid, rifampicin and ethambutol. resulting in complete resolution.
Divisions of Respiratory Medicine, Matsue Red Cross Hospital.
Hirokazu
H
Tokuyasu
Etsuko
E
Watanabe
Ryota
R
Okazaki
Hirokazu
H
Touge
Yuji
Y
Kawasaki
Noritaka
N
Isowa
Shimizu
S
Eiji
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D064704:Levofloxacin; D015242:Ofloxacin / Q000627:therapeutic use*; D010996:Pleural Effusion / Q000188:drug therapy* / Q000209:etiology; D014396:Tuberculosis, Pleural / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D064704:Levofloxacin; D015242:Ofloxacin