There is a tendency, now reasonably well established, to consider acute lesions of the pleura as tuberculous, unless some other cause is evident. Like the criminal in the French courts, a patient with an attack of acute pleurisy is "guilty" of tuberculosis until it can be proved otherwise. Particularly is this true of the serofibrinous type, or pleurisy with effusion. The literature abounds in reports of patients with this type of pleurisy who have been followed for years. The percentage of these in whom tuberculosis of the lung develops varies in the different reports according to the treatment carried out following the acute illness, the length of time the patients are followed, and the ascertainable cause of death in those who have died. Whatever the end-result, pleurisy with effusion occurring as a primary illness without demonstrable cause is looked on as a sign of tuberculous infection just as is an
FULTON MN, HAHN RG. THE SUBSEQUENT COURSE OF FORTY PATIENTS WITH ACUTE "DRY" PLEURISY. JAMA. 1931;97(26):1959–1961. doi:10.1001/jama.1931.02730260025007
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