Pleural effusion natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
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. | ||
* Only symptomatic pleural effusions or effusions larger than 50% of [[hemithorax]] require [[thoracentesis]] or [[chest tube]] drainage. | * Only symptomatic pleural effusions or effusions larger than 50% of [[hemithorax]] require [[thoracentesis]] or [[chest tube]] drainage. | ||
*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. | ||
* [[Postcardiac injury syndrome]] (PCIS) | |||
*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> | |||
* [[Postcardiac injury syndrome]] (PCIS)<ref name="pmid20058698">{{cite journal| author=Namba R, Yamamoto Y, Nawa T, Endo K| title=[A case of postcardiac injury syndrome with repeated pleuritis after blunt chest trauma]. | journal=Nihon Kokyuki Gakkai Zasshi | year= 2009 | volume= 47 | issue= 12 | pages= 1161-5 | pmid=20058698 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20058698 }} </ref><ref name="pmid2689066">{{cite journal| author=Remetz MS, Cleman MW, Cabin HS| title=Pulmonary and pleural complications of cardiac disease. | journal=Clin Chest Med | year= 1989 | volume= 10 | issue= 4 | pages= 545-92 | pmid=2689066 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2689066 }} </ref><ref name="pmid6617272">{{cite journal| author=Stelzner TJ, King TE, Antony VB, Sahn SA| title=The pleuropulmonary manifestations of the postcardiac injury syndrome. | journal=Chest | year= 1983 | volume= 84 | issue= 4 | pages= 383-7 | pmid=6617272 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6617272 }} </ref> | |||
** A general term for fever and [[pleuropericardial]] disease days or months after cardiac injury ([[myocardial infarction]] or surgery). | ** 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. | ** Typically present two to three weeks post op. | ||
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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.
- Only symptomatic pleural effusions or effusions larger than 50% of hemithorax require thoracentesis or chest tube drainage.
- 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.
- Reexpansion pulmonary edema as a complication of therapeutic thoracentesis[1]
- Postcardiac injury syndrome (PCIS)[2][3][4]
- 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
- ↑ 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.
- ↑ 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.