TY - JOUR AU - Mermigkis, Charalampos AU - Kopanakis, Antony AU - Psathakis, Kostas AU - Karagiannidis, Napoleon AU - Kastanakis, Manolis AU - Patentalakis, Michael AU - Amfilochiou, Anastasia AU - Patentalakis, Georgios AU - Polychronopoulos, Vlassis PY - 2009 DA - 2009/07/31 TI - A massive hemorrhagic pleural effusion does not exclude the diagnosis of tuberculosis: a case report JO - Cases Journal SP - 8707 VL - 2 IS - 1 AB - We report a case of an immunocompetent 18-year-old man with a massive hemorrhagic, exudative, lymphocytic pleural effusion. Blind transthoracic pleural biopsy showed granuloma formation, while the pleural fluid culture was positive for Mycobacterium tuberculosis, confirming the diagnosis of primary tuberculous pleuritis. A massive hemorrhagic pleural effusion is extremely rare in tuberculosis, but tuberculosis is a very protean disease and should always be included in the differential diagnosis of pleural effusions SN - 1757-1626 UR - https://doi.org/10.4076/1757-1626-2-8707 DO - 10.4076/1757-1626-2-8707 ID - Mermigkis2009 ER -