Etiological basis of pleural effusion in a teaching hospital

Chowdhury, Poritosh Kumar; Ahmed, Saad; Alam, SM Tushar; Ghosh, Debasish Kumar; Biswas, Sankar Prosad

doi:10.3329/bmjk.v49i1-2.31822

Cited by 2 publications

(4 citation statements)

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“…A study in Bangladesh reported the tuberculosis as the most common cause of PE followed by parapneumonic effusion, malignancy, nephrotic syndrome, liver cirrhosis, and congestive heart failure (CHF). 3 The same results were reported from other developing countries and proved tuberculosis as the most common cause of PE. 4…”

Section: Introductionsupporting

confidence: 76%

Congestive heart failure is the leading cause of pleural effusion in the north-west of Iran

Nazemiyeh

Dorraji

Nouri‐Vaskeh

et al. 2019

J Cardiovasc Thorac Res

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Introduction: Pleural effusion (PE) is a common manifestation of pulmonary and non–pulmonary diseases, and the first step for diagnosing the etiology is analysis of pleural fluid. The aim of this study was to determine the epidemiology of PE in a tertiary referral hospital in the North-West of Iran. Methods: All patients with PE who referred to the department of pulmonary diseases in tertiary centre of Tabriz University of Medical Sciences between 2015 and 2016 were enrolled. Complete enumeration method used for selection of patients. Required information including clinical findings, PE location, fluid appearance, and biochemical characteristics were recorded using a checklist and analyzed via appropriate statistical methods. Results: A total of 223 patients were included in this study. Congestive heart failure (CHF) was the most common cause of PE (n=67), followed by pulmonary thromboembolism and malignant diseases. PE fluid in all patients with CHF was transudative. Conclusion: According to the findings of this study, CHF was the most prevalent cause of PE.

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Section: Introductionsupporting

confidence: 76%

Congestive heart failure is the leading cause of pleural effusion in the north-west of Iran

Nazemiyeh

Dorraji

Nouri‐Vaskeh

et al. 2019

J Cardiovasc Thorac Res

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“…Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine groups respectively) see Figure 5 than malignant pleural effusion (30% and 30% in both groups respectively) see Figure 6. As regard microbiology, the current study revealed that the percentages of Staph aureus, Klebsiella, and Pseudomonas were about (69% [9] and 67% [8]), (15% [2] and 8% [1]) and (15% [2] and 8% [1]) in both groups respectively.…”

Section: Discussionmentioning

confidence: 66%

“…Multiple diseases can lead to pleural effusion, which often carries a grave prognosis. 1 In daily medical practice, pleural effusion is commonly encountered by respiratory and non-respiratory physicians. In USA, about 1 to 1.5 million cases are diagnosed with effusion every year, whereas in UK, the new cases are estimated about 200 000 to 250 000 new cases per year.…”

Section: Introductionmentioning

confidence: 99%

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Minithoracoscope versus Conventional Medical Thoracoscope in Patients with Exudative Pleural Effusion

Hamoda

Hafez

Abdalla

et al. 2020

Clin Med Insights Circ Respir Pulm Med

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Background: Thoracoscopy allows visualization of the pleural cavity including diaphragm, visceral pleura, and lungs. It provides the physician with information about the disease extent and it has the ability to get a biopsy from these lesions to differentiate between tumors and fibrotic reactions. This study aims to compare minithoracoscopy and medical thoracoscope in patients with exudative pleural effusion as regards the diagnostic yield, safety, complications, and duration of hospital stay. Patients and methods: Sixty patients were diagnosed with exudative pleural effusion and were randomly divided into 2 equal groups: Group (1): included 30 patients who underwent minithoracoscopy and Group (2): included the remaining 30 cases who underwent the standard thoracoscope. Results: Pathological examination of the sample revealed that biopsy size was 2.02 and 1.25 in group 1 and group 2 was respectively with highly statistically significant between both groups ( P < .001). Group 1 revealed TB, malignant, chronic nonspecific pleurisy, Staph aureus, Klebsiella, and Pseudomonas in 30% (9), 30% (9), 33.3% (10), 69% (9), 15% (2), and 15% (2) of cases respectively. While group 2 reveled TB, malignancy, chronic nonspecific pleurisy, Staph aureus, Klebsiella, Pseudomonas, and other causes in 40% (12), 23.3% (7), 23.3% (7), 67% (8), 8% (1), 8% (1), and 16% (2) respectively with no statistically significant differences between both groups ( P > .05). Conclusion: Minithoracoscopy is well tolerated by patients as minimal pain and early hospital discharge could be achieved by that approach.

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Etiological basis of pleural effusion in a teaching hospital

Cited by 2 publications

References 0 publications

Congestive heart failure is the leading cause of pleural effusion in the north-west of Iran

Congestive heart failure is the leading cause of pleural effusion in the north-west of Iran

Minithoracoscope versus Conventional Medical Thoracoscope in Patients with Exudative Pleural Effusion

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