Pleural effusion in a pediatric ward: clinical feature, etiology and outcome

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dc.contributor.authorAdnan, Mohammad Ahaden_US
dc.contributor.authorHossain, M. Delwaren_US
dc.contributor.authorHaque, M. Rezaulen_US
dc.contributor.authorIslam, Taniaen_US
dc.contributor.authorAhmed, Ifthakharen_US
dc.contributor.authorDatta, Uttam Kumaren_US
dc.date.accessioned2024-09-24T07:18:05Z
dc.date.available2024-09-24T07:18:05Z
dc.date.issued2024-02
dc.description.abstractBackground: Pleural effusion is a common respiratory complication in children. We aimed to document clinical feature, etiology, biochemical parameters and outcome of the admitted children with pleural effusion.Methods: This cross-sectional study was conducted from January 2022 to June 2023 at pediatric ward of ICMH. All children from 6 months to 14 years presented with clinical features suggestive of pleural effusion and later supported by radiology and ultrasonography of chest either at presentation or owing to other systemic illness were enrolled. Children aged below 6 months, associated chronic illness and parental denial of giving consent were excluded. In indicated cases pleural fluid was tapped and sent to laboratory for physical, biochemical examination, staining, culture, GeneXpert, LDH and ADA assay. Results: Out of 43 children, 19 underwent pleural tap and rest were managed conservatively. Most of the children were in between 2 to 6 years. There were 22 male and 21 female. Unilateral effusion was found in 25 children and 18 children developed bilateral effusion. All the children had documented fever. Other symptoms were cough, respiratory distress, chest pain, weight loss, abdominal pain, jaundice and blood mixed sputum. Physical signs correlated classical effusion features. The etiologies included DF, TB, para-pneumonic effusion, empyema, nephrotic syndrome, malignancy, acute viral hepatitis, heart failure and acute pancreatitis. There was no mortality and long-term complication in non-malignant cases.Conclusions: DF outnumbered other causes of pleural effusion in recent times owing to recent Dengue outbreak. Tubercular effusion was leading cause among cases undergoing pleural tap.en_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatrics, Institute of Child and Mother Health (ICMH), Dhaka, Bangladeshen_US
dc.identifier.citationAdnan Mohammad Ahad, Hossain M. Delwar, Haque M. Rezaul, Islam Tania, Ahmed Ifthakhar, Datta Uttam Kumar . Pleural effusion in a pediatric ward: clinical feature, etiology and outcome . International Journal of Contemporary Pediatrics. 2024 Feb; 11(2): 117-120en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/228669
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-3291.ijcp20240085en_US
dc.subjectPleural effusionen_US
dc.subjectDengueen_US
dc.subjectTuberculosisen_US
dc.subjectPneumoniaen_US
dc.subjectNephroticen_US
dc.titlePleural effusion in a pediatric ward: clinical feature, etiology and outcomeen_US
dc.typeJournal Articleen_US
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