Volume 2022, Issue 4

Abstract

Patients with Community-Acquired Pneumonia (CAP) complicated with pleural effusion mostly present with shortness of breath and pleuritic chest pain, and usually, pleural fluid (PE) progresses gradually. In this report, a case of CAP patient complicated with PE presented with left shoulder pain is discussed. The PE was found to have rapidly accumulated as a massive effusion within 24 hours of presentation. Thoracocentesis was performed and revealed an exudative picture. Patients with CAP can present with atypical symptoms on admission but may develop massive parapneumonic pleural effusion within a short time that would need definite management via urgent chest tube placement.

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2022-06-14
2024-03-29
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References

  1. Karkhanis VS, Joshi JM. Pleural effusion: diagnosis, treatment, and management. Open Access Emerg Med. 2012 Jun 22;:4:31–52.
    [Google Scholar]
  2. Collins TR, Sahn SA. Thoracocentesis. Clinical value, complications, technical problems, and patient experience. Chest. 1987 Jun; 91:(6):817–22.
    [Google Scholar]
  3. Jiménez D, Díaz G, Gil D, Cicero A, Pérez-Rodríguez E, et al. Etiology and prognostic significance of massive pleural effusions. Respir Med. 2005 Sep; 99:(9):1183–71.
    [Google Scholar]
  4. Koppurapu V, Meena N. A review of the management of complex para-pneumonic effusion in adults. Journal of thoracic disease. 2017; 9:(7):2135.
    [Google Scholar]
  5. Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. Harrison's principles of internal medicine, 19e: Mcgraw-hill New York, NY, USA; 2015.
    [Google Scholar]
  6. Light RW, Macgregor MI, Luchsinger PC, Ball WC Jr. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med. 1972 Oct; 77:(4):507–13.
    [Google Scholar]
  7. Light RW. The Light criteria: the beginning and why they are useful 40 years later. Clinics in chest medicine. 2013; 34:(1):21–6.
    [Google Scholar]
  8. Jany B, Welte T. Pleural effusion in adults—etiology, diagnosis, and treatment. Deutsches Ärzteblatt International. 2019; 116:(21):377.
    [Google Scholar]
  9. Soe Z, Shwe WH, Moe S. A study on tuberculous pleural effusion. International Journal of Collaborative Research on Internal Medicine & Public Health. 2010; 2:(3):0.
    [Google Scholar]
  10. Sherani K, Alnuaimi A, Vakil A, Cervellione K, Kulsum U, Shalonov A. Massive Pleural Effusion as an Initial Manifestation of Sarcoidosis. Chest. 2016; 149:(4):A225.
    [Google Scholar]
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Keyword(s): Community-Acquired Pneumonia (CAP)complicated parapneumonic effusionexudative effusionmassive pleural effusion and thoracocentesis

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