In simple words: Tuberculous pleurisy is an infection of the lining of the lungs caused by the bacteria that cause tuberculosis (TB).It can cause fluid to build up around the lungs, leading to chest pain, cough, fever, and difficulty breathing.

Tuberculous pleurisy is an infection of the pleura, the membrane lining the chest cavity and covering the lungs, caused by Mycobacterium tuberculosis. This infection leads to an accumulation of fluid and inflammatory cells in the pleural space.Symptoms include cough, chest pain, fever, night sweats, weight loss, and shortness of breath.

Example 1: A 30-year-old patient presents with a non-productive cough, sharp chest pain that worsens with breathing, fever, and night sweats.A chest X-ray reveals pleural effusion, and subsequent pleural fluid analysis confirms the presence of Mycobacterium tuberculosis., A 65-year-old patient with a history of latent TB develops increasing shortness of breath and chest discomfort.Imaging studies and laboratory testing lead to a diagnosis of tuberculous pleurisy, indicating reactivation of the TB infection., A patient undergoing treatment for pulmonary tuberculosis develops new pleuritic chest pain and fever. Further investigation reveals a tuberculous pleural effusion, a complication of their existing TB.

Documentation should include details of the patient's symptoms (cough, chest pain, fever, etc.), history (including any prior TB exposure or infection), physical examination findings, results of imaging studies (chest X-ray, CT scan), and laboratory tests (sputum culture, pleural fluid analysis, pleural biopsy). Medical necessity for procedures like pleural fluid drainage should also be documented.