BMJ 1996; 312 doi: (Published 08 June 1996) Cite this as: BMJ 1996;312:1473
  1. H Klonin,
  2. C Vickery

    Insomnia as a complication of pleural aspiration

    While working in tuberculosis clinics in a remote area of Nepal we saw two patients who had difficulty sleeping after pleural aspiration and a striking case of sleep disturbance in the spouse of a third patient.

    We first encountered the problem with a 52 year old man who was found to be sputum positive for acid and alcohol fast bacilli. Despite his weight loss and cough, dyspnoea was his presenting symptom. On examination he had a pleural effusion. After a month of short course chemotherapy his sputum was negative for acid and alcohol fast bacilli, but his dyspnoea had worsened and his pleural effusion was larger.

    A litre of …

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