title: Bilateral pleural effusion in a HIV negative patient - TB or not TB?
abstract: Pleural tuberculosis is an infrequent cause of respiratory illness in Europe and usually presents unilaterally. We present the case of a young, immunocompetent sailor from the Phillippines, who presented with bilateral pleural fluid caused by Mycobacterium tuberculosis infection in the Netherlands. In addition challenges in the diagnostic process are discussed.
authors.affiliation: Department of Internal Medicine, MC Slotervaart, Louwesweg 6, Amsterdam, The Netherlands; Center of Tropical Medicine and Travel Medicine, Academic Medical Centre, Meibergdreef 9, Amsterdam, The Netherlands. Electronic address: m.a.huson@amc.uva.nl.
authors.forename: Michaëla A M
authors.initials: MA
authors.lastname: Huson
authors.affiliation: Department of Internal Medicine, MC Slotervaart, Louwesweg 6, Amsterdam, The Netherlands. Electronic address: gonnekehermanides@gmail.com.
authors.forename: Hillegonda S
authors.initials: HS
authors.lastname: Hermanides
authors.affiliation: Center of Tropical Medicine and Travel Medicine, Academic Medical Centre, Meibergdreef 9, Amsterdam, The Netherlands. Electronic address: m.p.grobusch@amc.uva.nl.
authors.forename: Martin P
authors.initials: MP
authors.lastname: Grobusch
authors.affiliation: Department of Respiratory Medicine, MC Slotervaart, Louwesweg 6, Amsterdam, The Netherlands. Electronic address: martijn.kross@slz.nl.
authors.forename: Martijn
authors.initials: M
authors.lastname: Kross
mesh_terms: D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D003937:Diagnosis, Differential; D024881:Drug Resistance, Bacterial; D005060:Europe; D018023:HIV Seronegativity; D006801:Humans; D007121:Immunocompetence; D008297:Male; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification*; D009426:Netherlands; D010996:Pleural Effusion / Q000382:microbiology*; D012293:Rifampin / Q000494:pharmacology; D013909:Thorax / Q000000981:diagnostic imaging; D014396:Tuberculosis, Pleural / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000904:Antibiotics, Antitubercular; D012293:Rifampin
keywords: Diagnostic process; Pleural effusion; Tuberculosis