What are the symptoms of tuberculous pleurisy?

Tuberculous pleurisy presents symptoms such as chest pain, cough, fever, difficulty breathing, and general weakness. The severity of symptoms correlates with disease progression and the amount of pleural fluid; in early stages, symptoms may be atypical. If unexplained chest pain, low-grade fever, night sweats, or similar symptoms persist for more than two weeks, prompt medical evaluation is recommended.

1. Chest pain: Typically sharp or dull pain that worsens with deep breathing or coughing. The location of pain corresponds to the affected pleural area. As fluid accumulates, chest pain may temporarily subside, but a sensation of chest tightness often develops.

2. Cough: Usually a dry, irritating cough with little or no sputum, or occasionally small amounts of white黏液 sputum. It results from pleural irritation or coexisting pulmonary tuberculosis lesions. Severe coughing may exacerbate chest pain.

3. Fever: Most commonly low-grade, with body temperature ranging between 37.3°C and 38°C. Fever tends to be more pronounced in the afternoon or at night. Some patients may develop high fever, accompanied by night sweats—excessive sweating during sleep.

4. Difficulty breathing: As pleural fluid increases, it compresses lung tissue, reducing vital capacity and causing chest tightness, shortness of breath, and exertional dyspnea. In severe cases, rapid breathing may occur even at rest.

5. General weakness: Mycobacterium tuberculosis consumes the body's energy, leading to weight loss, fatigue, poor appetite, and systemic toxic manifestations such as lethargy and significant weight loss.

In daily life, ensure adequate sleep and avoid overexertion. Consume sufficient high-quality protein and vitamins to strengthen the body. Avoid smoking and alcohol, which can irritate the respiratory tract. Maintain good indoor ventilation and prevent colds to minimize coughing, thereby supporting recovery.