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Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria

BACKGROUND: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. MATERIALS AND METHODS: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were...

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Autores principales: Adeoye, Peter Oladapo, Johnson, Wahab Rotimi, Desalu, Olufemi Olumuyiwa, Ofoegbu, Chima Pascal, Fawibe, Ademola Emmanuel, Salami, Alakija Kazeem, Fadeyi, Abayomi, Akin-Dosumu, Akingbade Adebayo, Rasheedat, Ibraheem M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726178/
https://www.ncbi.nlm.nih.gov/pubmed/29269986
http://dx.doi.org/10.4103/0300-1652.219349
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author Adeoye, Peter Oladapo
Johnson, Wahab Rotimi
Desalu, Olufemi Olumuyiwa
Ofoegbu, Chima Pascal
Fawibe, Ademola Emmanuel
Salami, Alakija Kazeem
Fadeyi, Abayomi
Akin-Dosumu, Akingbade Adebayo
Rasheedat, Ibraheem M.
author_facet Adeoye, Peter Oladapo
Johnson, Wahab Rotimi
Desalu, Olufemi Olumuyiwa
Ofoegbu, Chima Pascal
Fawibe, Ademola Emmanuel
Salami, Alakija Kazeem
Fadeyi, Abayomi
Akin-Dosumu, Akingbade Adebayo
Rasheedat, Ibraheem M.
author_sort Adeoye, Peter Oladapo
collection PubMed
description BACKGROUND: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. MATERIALS AND METHODS: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. RESULTS: PE accounted for 0.5% of the total hospital admissions. The most common cause of PE was tuberculosis (TB) (32.9%), followed by malignancy (29.1%) and pneumonia (15.0%). The male to female ratio was 1.3:1. TB was the leading cause of effusion in males, while it was malignancy in females. Pneumonia accounted for 61.9% of PE in preschool age and 66.7% in school age. Breathlessness (50.0%), cough (39.4%), and chest pain (24.9%) were the common presentations. Most (90.1%) of them were exudative effusion and with half in the right lung. Chest radiography (91.6%), pleural fluid for Ziehl–Neelsen stain (74.7%), cytology (59.2%), and tissue biopsy (57.8%) were the common diagnostic investigations. The majority (92.0%) had closed thoracostomy tube drainage, while 9.9% had chemical pleurodesis. The intra-hospital mortality was 10 (4.7%). CONCLUSION: TB, malignancy, and pneumonia are the leading causes of PE. A multidisciplinary approach is needed for optimal management.
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spelling pubmed-57261782017-12-21 Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria Adeoye, Peter Oladapo Johnson, Wahab Rotimi Desalu, Olufemi Olumuyiwa Ofoegbu, Chima Pascal Fawibe, Ademola Emmanuel Salami, Alakija Kazeem Fadeyi, Abayomi Akin-Dosumu, Akingbade Adebayo Rasheedat, Ibraheem M. Niger Med J Original Article BACKGROUND: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. MATERIALS AND METHODS: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. RESULTS: PE accounted for 0.5% of the total hospital admissions. The most common cause of PE was tuberculosis (TB) (32.9%), followed by malignancy (29.1%) and pneumonia (15.0%). The male to female ratio was 1.3:1. TB was the leading cause of effusion in males, while it was malignancy in females. Pneumonia accounted for 61.9% of PE in preschool age and 66.7% in school age. Breathlessness (50.0%), cough (39.4%), and chest pain (24.9%) were the common presentations. Most (90.1%) of them were exudative effusion and with half in the right lung. Chest radiography (91.6%), pleural fluid for Ziehl–Neelsen stain (74.7%), cytology (59.2%), and tissue biopsy (57.8%) were the common diagnostic investigations. The majority (92.0%) had closed thoracostomy tube drainage, while 9.9% had chemical pleurodesis. The intra-hospital mortality was 10 (4.7%). CONCLUSION: TB, malignancy, and pneumonia are the leading causes of PE. A multidisciplinary approach is needed for optimal management. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5726178/ /pubmed/29269986 http://dx.doi.org/10.4103/0300-1652.219349 Text en Copyright: © 2017 Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Adeoye, Peter Oladapo
Johnson, Wahab Rotimi
Desalu, Olufemi Olumuyiwa
Ofoegbu, Chima Pascal
Fawibe, Ademola Emmanuel
Salami, Alakija Kazeem
Fadeyi, Abayomi
Akin-Dosumu, Akingbade Adebayo
Rasheedat, Ibraheem M.
Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title_full Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title_fullStr Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title_full_unstemmed Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title_short Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria
title_sort etiology, clinical characteristics, and management of pleural effusion in ilorin, nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726178/
https://www.ncbi.nlm.nih.gov/pubmed/29269986
http://dx.doi.org/10.4103/0300-1652.219349
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