Amit Kumar Verma , Shuchi Bhatt

University College of Medical Sciences Dilshad Garden, Delhi
Author    Correspondence author
International Journal of Clinical Case Reports, 2013, Vol. 3, No. 4   doi: 10.5376/ijccr.2013.03.0004
Received: 10 Apr., 2013    Accepted: 25 Apr., 2013    Published: 02 May, 2013

This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A 45 years old male presented with symptoms of fever, hiccoughs and chest pain. On evaluation found to have right sided pleural fluid collection, tubercular in character. Within one week of starting anti tubercular therapy the pulmonary shadows disappeared. An unusual with tubercular pleural effusion. On careful evaluation we could not find any tract of lesion which could explain possible tract of fluid. The hypothesis we could make that there was a necrotic lymph node between collection and esophagus, which possibly had given tract to the pleural fluid to be vomited out. The tract closed spontaneously after it.

Tuberculosis; Pleural effusion; ADA; Anti tubercular therapy; Esophageal-pleural fistula