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Imaging and biopsy confirmed pleural tuberculosis. Despite atypical features and no risk factors, anti\u2010tuberculosis therapy led to rapid improvement. This case highlights the diagnostic challenge of distinguishing tuberculosis\u2010related hydropneumothorax from necrotizing bacterial pneumonia and empyema in the presence of complex radiological findings.<\/jats:p>","DOI":"10.1002\/ccr3.72731","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:37:58Z","timestamp":1778902678000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Crafty Tuberculous Pleurisy Presented With Hydropneumothorax in a 49\u2010Year\u2010Old Male: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6129-5733","authenticated-orcid":false,"given":"Marah","family":"Mansour","sequence":"first","affiliation":[{"name":"Faculty of Medicine Tartous University  Tartous Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4632-496X","authenticated-orcid":false,"given":"Tala","family":"Dakkak","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hama University  Hama Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassam","family":"Alwaraa","sequence":"additional","affiliation":[{"name":"Department of General Surgery Tishreen University Hospital  Lattakia Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1618-7071","authenticated-orcid":false,"given":"Rama","family":"Aboudan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Aleppo  Aleppo Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7755-2474","authenticated-orcid":false,"given":"Mohamad Salah","family":"Mahhouk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Aleppo  Aleppo Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6337-5162","authenticated-orcid":false,"given":"Mohammad Yousuf","family":"Hasan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hama University  Hama Syrian Arab Republic"},{"name":"Department of Pulmonary Hama National Hospital  Hama Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.05.87"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.4046\/trd.2014.76.4.153"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajum.12278"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970\u20102113.180804"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13673"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072\u20101439.2015.02.18"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmcr.2016.03.010"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12900"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2019.0377"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:38:04Z","timestamp":1778902684000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccr3.72731"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72731","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-07-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72731"}}