Pleural effusion natural history, complications and prognosis: Difference between revisions
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Complications of pleural effusion can result from the disease itself or from complication of treatment procedure. | Complications of pleural effusion can result from the disease itself or from complication of treatment procedure. | ||
*Pleural fluid can be secondarily infected and may turn into an [[abscess]] or [[empyema]], which will need to be drained with a chest tube. | *Pleural fluid can be secondarily infected and may turn into an [[abscess]] or [[empyema]], which will need to be drained with a chest tube. | ||
*[[Pneumothorax]] can be a complication of [[thoracentesis]] procedure. | *[[Pneumothorax]] can be a complication of [[thoracentesis]] procedure.<ref name="pmid19052935">{{cite journal| author=Josephson T, Nordenskjold CA, Larsson J, Rosenberg LU, Kaijser M| title=Amount drained at ultrasound-guided thoracentesis and risk of pneumothorax. | journal=Acta Radiol | year= 2009 | volume= 50 | issue= 1 | pages= 42-7 | pmid=19052935 | doi=10.1080/02841850802590460 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19052935 }} </ref><ref name="pmid16281263">{{cite journal| author=Barnes TW, Morgenthaler TI, Olson EJ, Hesley GK, Decker PA, Ryu JH| title=Sonographically guided thoracentesis and rate of pneumothorax. | journal=J Clin Ultrasound | year= 2005 | volume= 33 | issue= 9 | pages= 442-6 | pmid=16281263 | doi=10.1002/jcu.20163 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16281263 }} </ref><ref name="pmid16087092">{{cite journal| author=Ponrartana S, Laberge JM, Kerlan RK, Wilson MW, Gordon RL| title=Management of patients with "ex vacuo" pneumothorax after thoracentesis. | journal=Acad Radiol | year= 2005 | volume= 12 | issue= 8 | pages= 980-6 | pmid=16087092 | doi=10.1016/j.acra.2005.04.013 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16087092 }} </ref> | ||
*Reexpansion pulmonary edema as a complication of therapeutic [[thoracentesis]]<ref name="pmid15596671">{{cite journal| author=Doelken P, Huggins JT, Pastis NJ, Sahn SA| title=Pleural manometry: technique and clinical implications. | journal=Chest | year= 2004 | volume= 126 | issue= 6 | pages= 1764-9 | pmid=15596671 | doi=10.1378/chest.126.6.1764 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15596671 }} </ref><ref name="pmid23917048">{{cite journal| author=Okubo T, Kawada M, Suzuki Y, Kawarada Y, Kitashiro S, Okushiba S| title=[Reexpansion pulmonary edema following thoracentesis]. | journal=Kyobu Geka | year= 2013 | volume= 66 | issue= 6 | pages= 456-9 | pmid=23917048 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23917048 }} </ref> | *Reexpansion pulmonary edema as a complication of therapeutic [[thoracentesis]]<ref name="pmid15596671">{{cite journal| author=Doelken P, Huggins JT, Pastis NJ, Sahn SA| title=Pleural manometry: technique and clinical implications. | journal=Chest | year= 2004 | volume= 126 | issue= 6 | pages= 1764-9 | pmid=15596671 | doi=10.1378/chest.126.6.1764 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15596671 }} </ref><ref name="pmid23917048">{{cite journal| author=Okubo T, Kawada M, Suzuki Y, Kawarada Y, Kitashiro S, Okushiba S| title=[Reexpansion pulmonary edema following thoracentesis]. | journal=Kyobu Geka | year= 2013 | volume= 66 | issue= 6 | pages= 456-9 | pmid=23917048 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23917048 }} </ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Natural History
Complications
Complications of pleural effusion can result from the disease itself or from complication of treatment procedure.
- Pleural fluid can be secondarily infected and may turn into an abscess or empyema, which will need to be drained with a chest tube.
- Pneumothorax can be a complication of thoracentesis procedure.[1][2][3]
- Reexpansion pulmonary edema as a complication of therapeutic thoracentesis[4][5]
- Postcardiac injury syndrome (PCIS)[6][7][8]
- A general term for fever and pleuropericardial disease days or months after cardiac injury (myocardial infarction or surgery).
- Typically present two to three weeks post op.
- Chest pain
- Pericardial rub
- Fever
- Leukocytosis
- Elevated erythrocyte sedimentation rate (ESR)
- Variable combinations of pulmonary effusions and infiltrates.
Prognosis
The expected outcome depends upon the underlying disease.
References
- ↑ Josephson T, Nordenskjold CA, Larsson J, Rosenberg LU, Kaijser M (2009). "Amount drained at ultrasound-guided thoracentesis and risk of pneumothorax". Acta Radiol. 50 (1): 42–7. doi:10.1080/02841850802590460. PMID 19052935.
- ↑ Barnes TW, Morgenthaler TI, Olson EJ, Hesley GK, Decker PA, Ryu JH (2005). "Sonographically guided thoracentesis and rate of pneumothorax". J Clin Ultrasound. 33 (9): 442–6. doi:10.1002/jcu.20163. PMID 16281263.
- ↑ Ponrartana S, Laberge JM, Kerlan RK, Wilson MW, Gordon RL (2005). "Management of patients with "ex vacuo" pneumothorax after thoracentesis". Acad Radiol. 12 (8): 980–6. doi:10.1016/j.acra.2005.04.013. PMID 16087092.
- ↑ Doelken P, Huggins JT, Pastis NJ, Sahn SA (2004). "Pleural manometry: technique and clinical implications". Chest. 126 (6): 1764–9. doi:10.1378/chest.126.6.1764. PMID 15596671.
- ↑ Okubo T, Kawada M, Suzuki Y, Kawarada Y, Kitashiro S, Okushiba S (2013). "[Reexpansion pulmonary edema following thoracentesis]". Kyobu Geka. 66 (6): 456–9. PMID 23917048.
- ↑ Namba R, Yamamoto Y, Nawa T, Endo K (2009). "[A case of postcardiac injury syndrome with repeated pleuritis after blunt chest trauma]". Nihon Kokyuki Gakkai Zasshi. 47 (12): 1161–5. PMID 20058698.
- ↑ Remetz MS, Cleman MW, Cabin HS (1989). "Pulmonary and pleural complications of cardiac disease". Clin Chest Med. 10 (4): 545–92. PMID 2689066.
- ↑ Stelzner TJ, King TE, Antony VB, Sahn SA (1983). "The pleuropulmonary manifestations of the postcardiac injury syndrome". Chest. 84 (4): 383–7. PMID 6617272.