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How to Treat Tuberculosis Pleural?

When to refer:
  • Unresolved effusions. Suppose that TB pleurisy is incorrectly diagnosed if the effusion does not improve on the chest after 3 months of treatment or if the patient deteriorates.
  • Loculated TB empyema, not resolving after intercostal underwater tube drainage and needing assessment for surgical drainage.
  • Persistent bronchopleural fistula.