E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Etiology and clinical profile of pleural effusion

Malay Kumar Maikap, Aparup Dhua, Malay Kumar Maitra.

Abstract
Background: Pleural effusion is an excessive or abnormal collection of fluid in pleural space. Etiological study of pleural effusions is challenging to the physician as it differs depending on the region where the study is being carried out and the population involved.

Objective: In this study, we aimed to identify the common etiologies causing pleural effusion and their clinical profile in a teaching institution.

Materials and Methods: It was a prospective evaluation of 250 consecutive cases of pleural effusion. Detailed history and physical examination, pleurocentesis and pleural fluid analysis were done in all cases and closed pleural biopsy, computed tomography (CT), fiber-optic bronchoscopy, and other relevant examination in selected cases.

Results: The most common cause pleural effusion in this study was tuberculosis (68.8%), followed by malignancy (14%), empyema (6%), and transudative effusion (2.8%). Pleural effusion was commonly seen in male (66%). The occurrence of tubercular pleural effusion was maximum in the age group 2130 years, but malignant pleural effusion was more common above 60 years of age. Right-sided effusions were more common. Estimation of pleural fluid adenosine deaminase plays a significant role in the diagnosis of tubercular pleural effusion. Pleural fluid cytology and closed pleural biopsy can diagnose most of the cases of pleural effusion due to malignancy.

Conclusion: The etiological diagnosis of pleural effusion remains unchanged even after few decades in our country. Even after thorough investigations with the help of closed pleural biopsy, fiber optic bronchoscopy, CT scan and CT guided fine needle aspiration cytology and others, 5.2% of cases could not be diagnosed. It has been also observed in another study where 15% cases remain undiagnosed. Thoracoscopic pleural biopsy may narrow down this gap.

Key words: Pleural Effusion; Tubercular Pleural Effusion; Pleural Biopsy


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Export to
Export to
Related Records
 Articles by Malay Kumar Maikap
Articles by Aparup Dhua
Articles by Malay Kumar Maitra
on Google
on Google Scholar
Article Statistics
 Viewed: 567
Downloaded: 194
Cited: 0

How to Cite this Article
Pubmed Style

Maikap MK, Dhua A, Maitra MK. Etiology and clinical profile of pleural effusion. Int J Med Sci Public Health. 2018; 7(4): 316-321. doi:10.5455/ijmsph.2018.0101931012018


Web Style

Maikap MK, Dhua A, Maitra MK. Etiology and clinical profile of pleural effusion. http://www.ijmsph.com/?mno=287747 [Access: September 22, 2018]. doi:10.5455/ijmsph.2018.0101931012018


AMA (American Medical Association) Style

Maikap MK, Dhua A, Maitra MK. Etiology and clinical profile of pleural effusion. Int J Med Sci Public Health. 2018; 7(4): 316-321. doi:10.5455/ijmsph.2018.0101931012018



Vancouver/ICMJE Style

Maikap MK, Dhua A, Maitra MK. Etiology and clinical profile of pleural effusion. Int J Med Sci Public Health. (2018), [cited September 22, 2018]; 7(4): 316-321. doi:10.5455/ijmsph.2018.0101931012018



Harvard Style

Maikap, M. K., Dhua, A. & Maitra, M. K. (2018) Etiology and clinical profile of pleural effusion. Int J Med Sci Public Health, 7 (4), 316-321. doi:10.5455/ijmsph.2018.0101931012018



Turabian Style

Maikap, Malay Kumar, Aparup Dhua, and Malay Kumar Maitra. 2018. Etiology and clinical profile of pleural effusion. International Journal of Medical Science and Public Health, 7 (4), 316-321. doi:10.5455/ijmsph.2018.0101931012018



Chicago Style

Maikap, Malay Kumar, Aparup Dhua, and Malay Kumar Maitra. "Etiology and clinical profile of pleural effusion." International Journal of Medical Science and Public Health 7 (2018), 316-321. doi:10.5455/ijmsph.2018.0101931012018



MLA (The Modern Language Association) Style

Maikap, Malay Kumar, Aparup Dhua, and Malay Kumar Maitra. "Etiology and clinical profile of pleural effusion." International Journal of Medical Science and Public Health 7.4 (2018), 316-321. Print. doi:10.5455/ijmsph.2018.0101931012018



APA (American Psychological Association) Style

Maikap, M. K., Dhua, A. & Maitra, M. K. (2018) Etiology and clinical profile of pleural effusion. International Journal of Medical Science and Public Health, 7 (4), 316-321. doi:10.5455/ijmsph.2018.0101931012018





Most Viewed Articles
  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Elevated levels of serum uric acid, creatinine or urea in preeclamptic women
    Magna Manjareeka, Sitikantha Nanda
    Int J Med Sci Public Health. 2013; 2(1): 43-47
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.43-47

  • Maternal and fetal outcome in oligohydramnios- Study of 100 cases
    Krishna Jagatia, Nisha Singh, Sachin Patel
    Int J Med Sci Public Health. 2013; 2(3): 724-727
    » Abstract & References » doi: 10.5455/ijmsph.2013.070520132

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Prevalence and pattern of substance abuse among school childern in nothern India: A rapid assesment study
    Syed Shuja Qadri, RKD Goel, Jagjeet Singh, Surendra Kumar Ahluwalia, Rambha Pathak, Humaira Bashir
    Int J Med Sci Public Health. 2013; 2(2): 273-282
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.271-280

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Most Downloaded
  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Gunthers with haemolytic anaemia extremly rare: A case report
    Nilesh Kumar, Ankur Varshney, Arvind Anand, Dibyaranjan Behera, Ravi Anand, Ashutosh Tiwari
    Int J Med Sci Public Health. 2013; 2(2): 472-474
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.313-315

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Recent update on osteoporosis
    Vijender Agrawal, Dharmendra Gupta
    Int J Med Sci Public Health. 2013; 2(2): 164-168
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.162-166

  • Maternal and fetal outcome in oligohydramnios- Study of 100 cases
    Krishna Jagatia, Nisha Singh, Sachin Patel
    Int J Med Sci Public Health. 2013; 2(3): 724-727
    » Abstract & References » doi: 10.5455/ijmsph.2013.070520132

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Study of psychological stress among undergraduate medical students of government medical college, Surat.
    Priti Solanky, Binita Desai, Abhay Kavishwar, S. L. Kantharia
    Int J Med Sci Public Health. 2012; 1(2): 38-42
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.38-42

  • Most Cited Articles
  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6
    Cited : 23 times [Click to see citing articles]

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11
    Cited : 13 times [Click to see citing articles]

  • Clinico-microbiological profile of women with vaginal discharge in a tertiary care hospital of northern India
    Varsha Chaudhary, Ved Prakesh, Kian Agarwal, Vijender Kumar Agrawal, Arun Singh, Sachin Pandey
    Int J Med Sci Public Health. 2012; 1(2): 75-80
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.75-80
    Cited : 6 times [Click to see citing articles]

  • Correlation between obesity and cardio respiratory fitness
    Prabha Setty, BV Padmanabha, BR Doddamani
    Int J Med Sci Public Health. 2013; 2(2): 300-304
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.298-302
    Cited : 6 times [Click to see citing articles]

  • Migration and health-care access: Barriers to access government health services by migrant tribal community living in an eastern Indian city
    Suchismita Mishra, Yadlapalli S Kusuma, Bontha V Babu
    Int J Med Sci Public Health. 2015; 4(1): 101-108
    » Abstract & References » doi: 10.5455/ijmsph.2015.0110201424
    Cited : 6 times [Click to see citing articles]

  • Non albicans Candida species: its isolation pattern, species distribution, virulence factors and antifungal susceptibility profile
    Sachin Chandrakant Deorukhkar, Santosh Saini
    Int J Med Sci Public Health. 2013; 2(3): 533-538
    » Abstract & References » doi: 10.5455/ijmsph.2013.080320131
    Cited : 6 times [Click to see citing articles]

  • Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions
    Divija Pillai, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, Velavan Anandan
    Int J Med Sci Public Health. 2015; 4(7): 957-960
    » Abstract & References » doi: 10.5455/ijmsph.2015.30012015196
    Cited : 6 times [Click to see citing articles]

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42
    Cited : 5 times [Click to see citing articles]

  • The surgical approach in huge scrotal lymphedema
    Hiren Dahyabhai Parmar
    Int J Med Sci Public Health. 2013; 2(1): 153-155
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.153-155
    Cited : 5 times [Click to see citing articles]

  • Sugammadex associate persistant bradycardia
    Murat Bilgi, Abdullah Demirhan, Akcan Akkaya, Umit Yasar Tekelioglu, Hasan Kocoglu
    Int J Med Sci Public Health. 2014; 3(3): 372-374
    » Abstract & References » doi: 10.5455/ijmsph.2013.251220131
    Cited : 5 times [Click to see citing articles]