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Tuberculous (TB) pleurisy can cause clinical symptoms and pleural fibrosis with resultant residual pleural thickening (RPT). Therapeutic thoracentesis or initial complete drainage in addition to anti-TB drugs have been tried to rapidly relieve dyspnea caused by effusion and to decrease the occurrence of RPT. However, contradictory results are reported without clear reasons. The researchers' hypothesis is that, in addition to anti-TB medications, early effective evacuation of inflammatory exudates with or without fibrinolytic agents may hasten resolution of pleural effusion, reduce the occurrence of RPT and finally improve long-term functional outcome in patients with TB pleurisy.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pigtail drainage | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Chest radiography, daily monitoring of the volume of fluid drained, the time needed for resolution of fever and dyspnea, and total amounts of fluid drained, and the length of chest drainage and hospitalization | baseline, daily after treatment within admission |
| Measure | Description | Time Frame |
|---|---|---|
| Chest radiography and pulmonary function testing with spirometry | At discharge and at 2, 4, 6, and 12 months |
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| Name | Affiliation | Role |
|---|---|---|
| Chi-Li Chung, MD | Department of Internal Medicine, Taipei Medical University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Medical University Hospital | Taipei | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18216051 | Derived | Chung CL, Chen CH, Yeh CY, Sheu JR, Chang SC. Early effective drainage in the treatment of loculated tuberculous pleurisy. Eur Respir J. 2008 Jun;31(6):1261-7. doi: 10.1183/09031936.00122207. Epub 2008 Jan 23. |
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| ID | Term |
|---|---|
| D014396 | Tuberculosis, Pleural |
| D010996 | Pleural Effusion |
| D014376 | Tuberculosis |
| ID | Term |
|---|---|
| D000092225 | Tuberculosis, Extrapulmonary |
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
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| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D012141 | Respiratory Tract Infections |
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |