Aetiopathological evaluation of pleural effusions
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Date
2020-01
Authors
Krishna, Nallamothu Murali
Sreeramulu, Vietla
Gurrala, Sai Krishna
Chandra, T. Jaya
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Pleural Effusion (PE) is a sign of disease and not a diagnosis itself. Hence an attempt was made to find out the etiological diagnosis of pleural effusion in cases.Methods: Single center, observational, cross sectional hospital-based study. Samples were collected by systematic random sampling method; study was conducted in GSL Medical College. Patients admitted with pleural effusion in medical wards and ICU were taken. The patients >14 years age, both genders were included. All patients were interviewed to obtain detailed history and examined thoroughly as per pre-determined protocol. Chest x-ray, chest ultrasonogram, PF analysis, routine general investigations were conducted for all the participants; and pleural cytology in certain cases. PF was aspirated send for various microbiological investigations such as gram stain, culture.Results: Out of 104 study participants, 78 were men and 26 were women and peak incidence of pleural effusion is 41-50 years. In this study, 58% cases were found to be tuberculoid, 25% malignant, 6% pyogenic.Conclusions: Tuberculosis was found to be commonest and more prevalent cause of pleural effusion. Every case of pleural effusion should be meticulously investigated in order to arrive a diagnosis, whether tuberculous or non-tuberculous to proceed for specific therapy.
Description
Keywords
Fluid, Pleura, Pleural effusion, Pleural fluid
Citation
Krishna Nallamothu Murali, Sreeramulu Vietla, Gurrala Sai Krishna, Chandra T. Jaya. Aetiopathological evaluation of pleural effusions. International Journal of Advances in Medicine. 2020 Jan; 7(1): 90-92