Patient: Diagnosed in a local hospital with tuberculous pleurisy encapsulated effusion in a compartmentalized form. The remaining fluid could not be extracted. After three days of intravenous rifampicin, I had no fever, but I still had weakness, and I felt pain on the inside of my ribs when I hiccupped and breathed deeply, and I felt a tugging sensation inside. I was treated conservatively with IV rifampin for half a month and then switched to oral medication. (I heard from other doctors that our hospital does not seem to be equipped for surgical separation) Will there be any serious consequences if I don’t have surgical separation? Thank you, doctor, I’m waiting for your answer! Thank you Hospital Thoracic Surgery: The treatment of tuberculous pleurisy mainly includes anti-TB treatment and hormone therapy, if the fever is still present after anti-TB, it indicates that the disease has progressed to tuberculous abscess chest and requires chest drainage to control the infection. If the chest cavity has poor drainage, thoracoscopic removal of abscess chest can be considered to open up the separation and provide adequate drainage. If there are no systemic symptoms such as fever, anti-TB treatment may be required after 3-6 months depending on the chest X-ray, and if pleural thickening is obvious and lung expansion is limited, pleurodesis may be required to free lung function.