CONTRIBUTION OF PLEURAL BIOPSY IN THE DIAGNOSIS OF LYMPHOCYTIC EXUDATIVE PLEURISY
Journal Title: World Journal of Pharmaceutical Research - Year 2019, Vol 8, Issue 11
Abstract
Introduction: Blind pleural biopsy is a technique for investigating non-purulent pleurisy commonly used in developing countries such as Madagascar. The aim of the study was to evaluate the contribution of the pleural biopsy puncture in the etiological diagnosis of exudative lymphocytic pleurisy. Methods: Prospective study, involving 50 cases of multiple biopsies realized in the pneumology department Tambohobe Fianarantsoa University Hospital over a period of 12 months from January 2018 to December 2018. Pleural biopsy concerned subjects over 25 years of age who had exudative pleurisy (Protein level above 30g / l) predominantly lymphocyte (lymphocyte level greater than 50%). The biopsy forceps used was of the Abrams type. Results: The mean age was 53.48 years. The male sex is dominant in 74% of cases with sex ratio 2.8. Smoking was found in 48% of cases and chronic alcoholism in 24% of cases. Clinically, dyspnea was found in 88%; chest pain 22%, cough in 58% and fever in 52% of cases. The pleurisy was unilateral in 90% of the cases, of average abundance in 64% of the cases and great abundance in 36% of the cases. For the macroscopic appearance of the pleural fluid, 82% were citrins, 4% hematic and 14% haemorrhagic. The histological nature was dominated by granuloma caseous necrosis in 68% of cases, pleural metastasis in 12% and non specific inflammation in 20%. Conclusion: The contribution of pleural biopsy blindly is not negligible and can be proposed in first intention in the presence of exudative lymphocytic pleurisy. The repetition of the gestures is necessary when the first pleural biopsy puncture is not contributive, so as not to treat the patient wrongly as pleural tuberculosis even if we are in an endemic zone.
Authors and Affiliations
Rasoafaranirina Marie Odette
Keywords
Related Articles
- EP ID EP673288
- DOI -
- Views 161
- Downloads 0
COLON ULCER INDUCED BY ALENDRONATE AND CURE IT WITH METHYL SULFONYL METHANE
Background: Bisphosphonates define a class of drugs which are widely indicated to treat osteoporosis both in men and women. Side effects of the oral tablets may include nausea, difficulty swallowing, heartburn, irritatio...
INTRANASAL ROUTE-AN INNOVATIVE TECHNIQUE FOR BRAIN TARGETTING
The complex arrangement of Blood-Brain Barrier(BBB) restricts the entry of drugs into the brain. The intranasal route is widely accepted route for the delivery of many therapeutic agents due to a reason it bypasses BBB....
EVALUATION OF THE PHYTOCHEMICAL CHARACTERISTICS AND ANTIMICROBIAL ACTIVITY OF CAJANUS CAJAN LEAVES
Antibiotics resistance has become a serious global issue particularly in developing countries. Therefore and despite of availability of wide range of antibiotics, still there is need for discovery of new antibiotics.[1]...
USING SOCIAL MEDIA TO CHALLENGE THE PERCEPTION OF DENTISTRY IN SAUDI ARABIA
Oral Health Problems are highly prevalent in most of the regions Saudi Arabia. There have been several studies conducted locally to conclude the nature and degree of oral health problems in the provinces. Several surveys...
THE INFLUENCE OF GREEN LOW LEVEL LASER (532 NM) IRRADIATION ON WOUND HEALING
Background: Many workers indicating the ability of low level laser in accelerating wound healing. Two different doses (5.7, and 11.4 J/cm2) from a green laser light (532 nm) were employed on a superficial wound on rats d...