RARE CASE OF SALMONELLA EMPYEMA IN MULTIPLE, LARGE LOCULATED PLEURAL FLUID COLLECTIONS

Background. There are no available literatures on massive pleural effusions (MPE) in our country.Aim. To determine the aetiology of MPE and compare the mortality rate between malignant and nonmalignant MPE in adult Nigerians.Methods. A prospective study of all the patients diagnosed with nontraumatic pleural fluid collections for one year in two tertiary federal hospitals in Southern Nigeria. A total of 101 consecutive patients with pleural fluid collections were studied. Diagnoses were made by clinical features and laboratory and radiological investigations.Results. Forty-eight patients (47.5%) had MPE with a mean age of 43 years ± 14.04 and 35 were females. Thirty patients (62.5%) were diagnosed with nonmalignant conditions (21 from pulmonary tuberculosis (PTB) and 9 from other causes). Haemorrhagic pleural collections were from malignancy in 12 (30.8%) and from PTB in 6 (15.4%). Straw-coloured collections were from malignancy in 9 (23.1%), from PTB in 8 (20.1%), and from posttraumatic exudative effusion in 3 (7.7%). Compared with nonmalignant MPE, patients with malignant collections had higher mortality within 6 months (8/18 versus 0/30 with aPvalue of 0.000).Conclusion. The presentation of patients with nontraumatic haemorrhagic or straw-coloured MPE narrows the diagnosis to PTB and malignancy with MPE cases being a marker for short survival rate.

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Vanishing pleural fluid collections in cardiac failure simulating lung tumours

Australasian Radiology ◽

10.1111/j.1440-1673.1994.tb00143.x ◽

1994 ◽

Vol 38 (2) ◽

pp. 93-96 ◽

Cited By ~ 4

Author(s):

W F C VAN GELDEREN

Keyword(s):

Pleural Fluid ◽

Cardiac Failure ◽

Lung Tumours ◽

Fluid Collections

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Challenges in Image-Guided Drainage of Infected Pleural Collections: A Review

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0041-1734374 ◽

2021 ◽

Author(s):

Ashu S. Bhalla ◽

Manisha Jana ◽

Priyanka Naranje ◽

Swish K. Singh ◽

Irshad Banday

Keyword(s):

Pleural Fluid ◽

Fibrinolytic Therapy ◽

Early Initiation ◽

Image Guided ◽

Therapeutic Drugs ◽

Pleural Fibrosis ◽

Route Management ◽

Vital Component ◽

Fluid Collections ◽

Hematogenous Route

AbstractInfected pleural fluid collections (IPFCs) commonly occur as a part of bacterial, fungal, or tubercular pneumonia or due to involvement of pleura through hematogenous route. Management requires early initiation of therapeutic drugs, as well as complete drainage of the fluid, to relieve patients’ symptoms and prevent pleural fibrosis. Image-guided drainage plays an important role in achieving these goals and improving outcomes. Intrapleural fibrinolytic therapy (IPFT) is also a vital component of the management. The concepts of image-guided drainage procedures, IPFT, and nonexpanding lung are discussed in this review.

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Ruptured mediastinal pseudocyst with pancreaticopleural fistula formation in a 15-year-old boy presenting with white-out hemithorax: A case report

Indian Journal of Case Reports ◽

10.32677/ijcr.v7i12.3207 ◽

2022 ◽

pp. 547-549

Author(s):

Mohd Monis ◽

Md Khalaf Saba ◽

Syed M Danish Qaseem ◽

Nadeem Arshad

Keyword(s):

Pleural Fluid ◽

Rare Case ◽

Rare Complication ◽

Necrotizing Pancreatitis ◽

Magnetic Resonance Cholangiopancreatography ◽

Fistula Formation ◽

Direct Visualization ◽

Pleural Effusions ◽

Fluid Analysis ◽

Progressive Dyspnea

Pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis described more commonly in adults with alcoholic and necrotizing pancreatitis. We report a rare case of ruptured mediastinal pseudocyst with the formation of PPF in a 15-year-old boy who presented with progressive dyspnea and large left-sided pleural effusion that recurred despite repeated drainage. On the basis of imaging findings and pleural fluid analysis, the diagnosis of PPF with ruptured mediastinal pseudocyst was made. The diagnosis of PPF should be considered in patients with non-resolving large left-sided pleural effusions. The diagnosis can be confirmed either by significantly raised amylase levels in pleural fluid or direct visualization of the fistula on Computed tomography/magnetic resonance cholangiopancreatography.

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