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April 3, 2026CureusOpen Access

A Complicated Course of Pulmonary Tuberculosis With Cavitary Findings and Pleural Effusion

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Authors

MKMichael KrakowskiMVM. Eulalia Brito VeraJPJavier López-Royo Díaz de la Peña

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Overview

A report reveals diagnostic challenges of extrapulmonary TB in a recent immigrant, highlighting the need for vigilance.

Key Points

  • This report aims to discuss the complexities of diagnosing pulmonary tuberculosis in a patient with atypical presentations.
  • Case report of a 39-year-old male immigrant from Ecuador
  • Diagnosis included imaging studies and pleural fluid analysis
  • Video-assisted thoracoscopic surgery and pleural biopsy performed
  • Patient presented with recurrent fevers and pleuritic chest pain
  • Imaging revealed a cavitary lung lesion and left-sided pleural effusion
  • Pleural fluid showed elevated adenosine deaminase levels and lymphocyte-predominant exudate
  • Final diagnosis confirmed via biopsy, showing caseating granulomas
  • Successful treatment included surgical drainage and anti-tuberculous therapy

Cite This Study

Krakowski et al. (2026) studied this question.

synapsesocial.com/papers/69cf5e3d5a333a821460c6b2https://doi.org/10.7759/cureus.106192
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