A Case of Pleural Effusion Secondary to Covid-19

Abstract

Normal radiological discoveries of Covid 19 disease incorporatereciprocal ground glass opacities in lower flaps with a fringecirculation. Pleural radiation is viewed as an uncommon indication ofCovid 19 contamination. Pleural effusion can be divided intotransudative & exudative pleural effusions. Transudative pleuraleffusion occurs due to cirrhosis, heart failure, post open heart surgery& pulmonary embolism whereas an exudative pleural effusion aretriggered by pulmonary bacterial pneumonia or tuberculosis, cancer,inflammatory disorders such as pancreatitis, lupus, rheumatoidarthritis, post-cardiac injury syndrome, chylothorax (due to lymphaticobstruction), hemothorax (blood in the pleural space), and benignasbestos pleural effusion. This two types of pleural effusion can beidentified by measurement of the pleural fluid protein and lacticdehydrogenase (LDH). When the patient's serum total protein isnormal but the pleural fluid protein is less than 25g/L, the fluid isclassified as a transudate. The fluid is an exudate if the protein contentof the pleural fluid is greater than 35g/L.We'll look at the case of a 55-years-old male farmer with complains of breathlessness, cough, feverand left sided chest pain since 3 weeks. He had a history of Covid 19 Positive status 1 month back for which he took medications based onCovid 19 guidelines and HRCT score was 12/25. High amounts of Creactive protein & ferritin were discovered in laboratory tests. ChestX-ray & CT scan identified a massive left sided pleural effusion.Keywords: SARS-COV-2, Pleural Effusion, LDH,Lymphadenopathy.Int