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Parapneumonic effusion
Accumulation of fluid in the pleural space due to another illness
Accumulation of fluid in the pleural space due to another illness
| Field | Value |
|---|---|
| image | LLL pneumonia with effusionM.jpg |
| caption | A parapneumonic effusion (circled), due to a left lower lobe pneumonia |
| specialty |
A parapneumonic effusion is a type of pleural effusion (accumulation of fluid in the pleural cavity) that arises as a result of a pneumonia, lung abscess, or bronchiectasis.{{cite conference | book-title = Frontline Assessment of Common Pulmonary Presentations | access-date = 2007-08-07 | archive-url = https://web.archive.org/web/20040623053750/http://www.nlhep.org/books/pul_Pre/pleural-effusion.html | archive-date = 2004-06-23 | url-status = dead
Diagnosis
The criteria for a complicated parapneumonic effusion include Gram stain–positive or culture-positive pleural fluid, pleural fluid pH
Treatment
Appropriate management includes chest tube drainage (tube thoracostomy). Treatment of empyemas includes antibiotics, complete pleural fluid drainage, and reexpansion of the lung. Other treatments include the use of decortication.
References
References
- (2012). "Treatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema". Med. Sci. Monit..
- Light, Richard W.. (March 2006). "Parapneumonic Effusions and Empyema". Proceedings of the American Thoracic Society.
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