Lymphocytic Pleural Effusions: Aetiology and Frequency in a UK District General Hospital

Dooey, Damian; William, Linda; Cheng, Andrew; Nasir, Nyla; Babores, Marta

doi:10.1183/13993003.congress-2019.pa3089

Cited by 1 publication

(1 citation statement)

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“…MPE generally shows lymphocyte-predominant fluid [ 3 ]. Other lymphocyte-predominant pleural fluid causes are tuberculosis (TB), para-pneumonic, chronic inflammatory, sarcoidosis, rheumatoid pleuritis, and chylothorax [ 3 , 10 , 11 ]. The diagnosis of MPE can be surely done by the demonstration of malignant cells in the pleural fluid sample [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Malignant Pleural Effusion in Pediatrics: A Rare Presentation

Almogarry

Alradhi

Al-Shamrani

2023

Cureus

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Pleural effusion is the most common presentation of pleural diseases. It is relatively common in children with two predominant types: exudative and transudative effusions. In children, exudative types are the most common with bacterial infection being the most prevalent cause. In some cases, effusion could be difficult to confirm. We describe two patients with a similar age group who presented with respiratory distress in the form of fever, cough, and shortness of breath. They were managed clinically and radiologically as cases of parapneumonic effusion. Both were started on antibiotics with no improvement. After reviewing the cases, it was discovered that some crucial aspects of the history and physical examination that were essential to reach the correct diagnosis had not been taken into consideration. Parapneumonic effusion should be taken with caution, meticulous history and examination are warranted, and lymphocytic-predominant effusion is very alarming for potential malignancy in the absence of tuberculosis infection. If the antibiotic medication yields no significant improvement, earlier referral should be considered.

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Section: Discussionmentioning

confidence: 99%