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Pleural effusion (Gie 2003; Marais et al. 2004b). Uncommon in children of <6–8 yr. Usually a hypersensitivity response (may develop TB empyema) with typical presentation, well localized chest pain with intermittent fever, and the child otherwise remarkably well. Unilateral dullness on percussion. Fluid characteristically clear with yellow discoloration; TST (tuberculin skin text) very reactive >15–20 mm.
