Tuberculous Effusion Development in a Patient with Sarcoidosis During Corticosteroid Therapy

Yanarda, Halil; G�ne, Yilmaz
January 2003
Internet Journal of Pulmonary Medicine;2003, Vol. 3 Issue 1, p50
Academic Journal
A 47-year-old man was diagnosed as Löfgren's syndrome and corticosteroid therapy was started. On the seventh month of therapy a pleural effusion developed. Although no definite diagnosis could be made, anti-tuberculous therapy was started empirically. Three weeks later mycobacterium growth was detected on Löwenstein-Jensen culture. The patient recovered almost completely in 2 months with anti-tuberculous therapy. In a well controlled sarcoidosis patient who presents with pleural effusion, if other causes are excluded, it would be wise to start anti-tuberculous therapy since sarcoid pleural effusion is a rare form of disease which accompanies extensive disease and corticosteroid therapy renders patient vulnerable to tuberculosis.


Related Articles

  • Tuberculosis Therapeutics: Past Achievements, Present Road-Blocks and Future Perspectives. Garg, Sanjay K.; Santucci, Marilina B.; Seghrouchni, Fouad; Saltini, Cesare; Bisen, Prakash S.; Colizzi, Vittorio; Fraziano, Maurizio // Letters in Drug Design & Discovery;Oct2004, Vol. 1 Issue 4, p314 

    Tuberculosis represents the main cause of mortality due to a single pathogen infection. Advances in anti-tuberculosis therapies are urgently required both for treatment of the 8�12 million new cases of tuberculosis leading to 2 million deaths each year, as well as for the 2 billion...

  • Reliability of Cord Formation in BACTEC 12B/13A Media for Presumptive Identification of Mycobacterium tuberculosis Complex in Laboratories with a High Prevalence of Mycobacterium tuberculosis. Köksalan, O. K.; Aydin, M. D.; Eraslan, S.; Bekiroglu, N. // European Journal of Clinical Microbiology & Infectious Diseases;Apr2002, Vol. 21 Issue 4, p314 

    A total of 1208 positive BACTEC vials were examined for the presence or absence of serpentine cording. A very high (92.9%) rate of laboratory prevalence was obtained for Mycobacterium tuberculosis complex. The sensitivity, specificity, positive and negative predictive values of this test were...

  • Knowledge, beliefs and feelings about tuberculosis. Westaway, Margaret S. // Health Education Research;Jun1989, Vol. 4 Issue 2, p205 

    This article focuses on a study which presents information on knowledge, beliefs and feelings about tuberculosis (TB) in black urban community. The data for this study was collected by using a structured questionnaire. The sample included 211 black adult clinic attenders, aged between 15 and 68...

  • Status of zinc in pulmonary tuberculosis. Ghulam, Hassan; Kadri, Syed Manzoor; Manzoor, Ahmad; Waseem, Qureshi; Aatif, Mohammad Syed; Khan, Ghulam Qadir; Manish, Kak // Journal of Infection in Developing Countries;2009, Vol. 3 Issue 5, p365 

    Background: To study the status of zinc as a micronutrient in pulmonary tuberculosis, in our population, with the aim to see the effectiveness of therapy. Methodology: This prospective study includes 50 patients with pulmonary tuberculosis and 30 subjects as the control group. The patients were...

  • Editorial: What It Takes to Control Tuberculosis. Horsburgh Jr, C. Robert // American Journal of Public Health;Jul98, Vol. 88 Issue 7, p1015 

    The article presents the views of the editor on ensuring completion of therapy to control the resurgence of tuberculosis in the U.S., studied by McKenna et al. and published in this issue of the journal. McKenna et al. finds that there was a significant relationship between reduction in...

  • Health systems research is the best medicine. Braine, Theresa // Bulletin of the World Health Organization;Jan2005, Vol. 83 Issue 1, p7 

    The article states that Health systems research is the best medicine. Every year millions of people die of diseases such as malaria and tuberculosis for which a cure has existed for decades. This gap "between knowledge and practice in public health" is at the heart of WHO-sponsored proposals to...

  • Tuberculosis as a Trigger of Retroperitoneal Fibrosis. Greco, Paolo; Vaglio, Augusto; Corradi, Domenico; Cobelli, Rocco; Zompatori, Maurizio; Buzio, Carlo // Clinical Infectious Diseases;10/1/2005, Vol. 41 Issue 7, pe72 

    Retroperitoneal fibrosis (RPF) is usually idiopathic but sometimes secondary to underlying diseases. In this report, we describe a case of apparently idiopathic RPF associated with a mediastinal tuberculous adenopathy. After a course of antituberculous treatment, a complete resolution of both...

  • Outcome of HIV infected children with culture confirmed tuberculosis. Hesseling, A. C.; Westra, A. E.; Werschkull, H.; Donald, P. R.; Beyers, N.; Hussey, G. D.; El-Sadr, W.; Simon Schaaf, H. // Archives of Disease in Childhood;Nov2005, Vol. 90 Issue 11, p1171 

    Background: Tuberculosis (TB) is an important disease in human immunodeficiency virus (HIV) infected children living in regions where TB is endemic. There are limited data on the outcome of culture confirmed TB in HIV infected children. Aims and Methods: To describe the outcome on TB therapy and...

  • What is TB disease?  // Tuberculosis: Getting Healthy, Staying Healthy;Jun2008, Issue 8, p9 

    The article provides an answer to a question of what is the nature of the tuberculosis (TB) disease.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics