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Category: Volume 08 Issue 04 April 2020
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Title: Clinical Profile of Admitted Children with Pleural Effusion: A Tertiary Care Center Experience

Authors: Nabila Akand, Probir Kumar Sarkar, Md. Jahangir Alam, Md. Kamruzzaman, Sarabon Tahura, Johora Akter, Khondokar Ashikur Zaman

 DOI: https://dx.doi.org/10.18535/jmscr/v8i4.45

Abstract

   

Background: Pleural effusion is a problem commonly encountered by chest physicians. Management of pleural effusions depends on their origin whether exudates or transudates, simple or complicated. This study was carried out to find out types of effusion and their etiology.

Methods: A Prospective study of 60 patients were analyzed for clinical and laboratory profile, origin and type of fluid, etiology of pleural effusion in pediatric patients.

Results: Majority of the patients were in 1-4 years age group (42%). Fever, cough and respiratory distress were most common clinical symptoms in all type of effusion. Empyema was most common type of effusion followed by tuberculosis and para-pneumonic effusion cases. All of the exudative cases satisfied Lights criteria.

Conclusion: Pleural effusions are mostly exudative in origin in pediatric age. Pneumococci (30%) was more frequent among causative micro-organisms in recent time.

Keyword: pleural effusion, empyema, tuberculosis, para pneumonic effusion.

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Corresponding Author

Dr Nabila Akand

Registrar, Dept of Pediatric Respiratory Medicine (Pulmonology), Dhaka Shishu (Children) Hospital, Dhaka