| Abstract | We report a rare case of tuberculous pleurisy with a rapid decrease in pleural effusion by levofloxacin. A 73-year-old woman admitted due to dyspnea on exertion of one month duration. She had aortitis syndrome which had been treated with oral prednisolone for 6 months. Chest roentgenogram showed left pleural effusion, which was exudative with lymphocyte predominance and an increased level of adenosine deaminase. One-week administration of levofloxacin remarkably decreased effusion. as demonstrated on chest roentgenogram 2 weeks after treatment. Since Mycobacterium tuberculosis was isolated in culture from bronchial lavage fluid and sputum, we prescribed antituberculous therapy with isoniazid, rifampicin and ethambutol. resulting in complete resolution. |
| Authors | Hirokazu Tokuyasu, Etsuko Watanabe, Ryota Okazaki, Hirokazu Touge, Yuji Kawasaki, Noritaka Isowa, Shimizu Eiji
(Affiliation: Divisions of Respiratory Medicine, Matsue Red Cross Hospital.)
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| Journal | Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
(Nihon Kokyuki Gakkai Zasshi)
Vol. 45
Issue 11
Pg. 884-9
(Nov 2007)
ISSN: 1343-3490 Japan |
| PMID | 18051793
(Publication Type: Case Reports, English Abstract, Journal Article)
|
| Chemical References |
- Anti-Bacterial Agents
- Ofloxacin
|
| Topics |
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Female
- Humans
- Ofloxacin
(therapeutic use)
- Pleural Effusion
(drug therapy, etiology)
- Tuberculosis, Pleural
(complications, drug therapy)
|
