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고립성폐결절의 경피적 바늘생검 이후 발생한 결핵성 흉수
구호석 ( Ho Seok Koo ),김태균 ( Tae Kyun Kim ),박성길 ( Sung Kil Park ),최상분 ( Sang Bun Choi ),김애란 ( Ae Ran Kim ),최상봉 ( Sang Bong Choi ),정훈 ( Hoon Jung ),박이내 ( I Nae Park ),허진원 ( Jin Won Hur ),이혁표 ( Hyuk Pyo Le 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.3
A tuberculous pleural effusion may be a sequel to a primary infection or represent the reactivation of pulmonary tuberculosis. It is believed to result from a rupture of a subpleural caseous focus in the lung into the pleural space. It appears that delayed hypersensitivity plays a large role in the pathogenesis of a tuberculous pleural effusion. We encountered a 52 years old man with pleural effusion that developed several days after a CT guided percutaneous needle biopsy of a solitary pulmonary nodule. He was diagnosed with TB pleurisy. It is believed that his pleural effusion probably developed due to exposure of the parenchymal tuberculous focus into the pleural space during the percutaneous needle biopsy. This case might suggest one of the possible pathogeneses of tuberculous pleural effusion. (Tuberc Respir Dis 2007; 63: 268-272)