title: [Tuberculous pleuritis with onset of refractory pleural effusion after chemoradiotherapy for esophageal cancer].
abstract: A 75-year-old man received chemoradiotherapy (CRT) for stage IVa esophageal cancer and complete response (CR) was obtained. However, he was referred to our department for recurrence in an area of esophagus not included in the previously irradiated field. Left pleural effusion increased after admission. Tuberculous pleuritis was eventually diagnosed by thoracoscopic pleural biopsy. It is necessary to accurately diagnose the cause of pleural effusion after CRT, because treatment strategies greatly depend on it. It is also necessary to consider the possible onset of tuberculous pleuritis, in particular, in patients with a history of tuberculosis infection.
authors.affiliation: Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan. masahiro19770621@yahoo.co.jp
authors.forename: Masahiro
authors.initials: M
authors.lastname: Hirakawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ohnuma
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Sagawa
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Ishiwatari
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Murase
authors.forename: Satoshi
authors.initials: S
authors.lastname: Iyama
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sato
authors.forename: Koji
authors.initials: K
authors.lastname: Miyanishi
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kobune
authors.forename: Rishu
authors.initials: R
authors.lastname: Takimoto
authors.forename: Junji
authors.initials: J
authors.lastname: Kato
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000628:therapy*; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000175:diagnosis*; D014396:Tuberculosis, Pleural / Q000150:complications*