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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Prednisone Advisable For Pleural Effusion?

Hello my son had a Ct scan after pressure in his chest and was told that he had pleural effusion, fluid in both of his lungs. Can prednisone help him feel better? He was given antibiotics and felt better with the pain but the scan still shows that he has fluid. Or does he need to have it drained? Thank you.
Sat, 10 Nov 2018
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General & Family Physician 's  Response
Hi,

You did not mention it but I presume that it is a tuberculous pleural effusion as it is very common.

Corticosteroids may reduce the time to resolution of pleural effusion. Use of corticosteroids in conjunction with antituberculous therapy showed a reduction in mortality and morbidity in pericardial and central nervous system TB.

Signs and symptoms in pleural and severe pulmonary TB improve rapidly with the addition of corticosteroids.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Prabhash Verma,
General & Family Physician
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Is Prednisone Advisable For Pleural Effusion?

Hi, You did not mention it but I presume that it is a tuberculous pleural effusion as it is very common. Corticosteroids may reduce the time to resolution of pleural effusion. Use of corticosteroids in conjunction with antituberculous therapy showed a reduction in mortality and morbidity in pericardial and central nervous system TB. Signs and symptoms in pleural and severe pulmonary TB improve rapidly with the addition of corticosteroids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhash Verma, General & Family Physician