Ario Perbowo Putra1, Stephanie Dewi Samsuria1, Griskalia Christine 1, Zulkifli Amin2
1Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Indonesia 2Division of Respirology and Critical Care, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Indonesia

Summary: Intrapleural streptokinase was performed to a 25-year-old-male with loculated pleural effusion due to tuberculosis infection. The effusion was improved significantly after fibrinolytic and antituberculosis therapy. Before insertion of intrapleural streptokinase, the pleural volume drained twice with in total volume was 1700 ml, but no significant changes were seen on the chest X-ray. After streptokinase use, the volume drained was almost 1800 ml and the chest X-ray showed significant improvement, as well as the patient condition. Intrapleural streptokinase is an effective procedure in improving drainage of loculated pleural effusion due tuberculosis.
Key words: Pleural effusion,Streptokinase, fibrinolytic