DOI: http://dx.doi.org/10.18203/2349-3933.ijam20200670

Role of bronchoscopy in pleural effusion bacterial infection

Gomathi R. G., Sindhura Koganti, Dhanasekhar ., Chandrasekar ., Rajagopalan .

Abstract


Background: In the present study was to investigate that the role of Bronchoscopy in pleural effusion in bacterial growth condition. Pleural effusion is one of the commonest problems with which patients present to the hospital. Pleural effusion is always abnormal and indicates the presence of an underlying disease. Despite the fact that there are many causes of pleural effusion, it is estimated that 90% of all pleural effusions are the result of only 5 disease processes: malignancy, pneumonia, pulmonary embolism viral infection, congestive heart failure.

Methods: This is a Prospective and Observational Study. All patients diagnosed to have pleural effusion by x-ray, clinical examination and ultrasound examination of pleura if needed will undergo informed.

Results: All 80 patients were included of whom 60(70%) were males and 20(30%) were females. Out of 80 patients, 5 patients are having bacterial growth (6.3%). All 5 patients who had exudative effusion, 4 were males and 1 female, 4 cases were right side effusion and 1 left sided effusion.

Conclusions: Authors conclude that bronchoscopy has a definite role in the etiological diagnosis of pleural effusion in bacterial infection.


Keywords


Bronchoscopy, Pleural effusion and bacterial infection, X-ray

Full Text:

PDF

References


British Thoracic Society Bronchoscopy Guidelines Committee. British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax. 2001;56(1):i1-21.

Valdes L, Alvarez D, Valle JM, Pose A, San José E. The etiology of pleural effusions in an area with high incidence of tuberculosis. Chest. 1996 Jan 1;109(1):158-62.

Storey DD, Dines DE, Coles DT. Pleural effusion: a diagnostic dilemma. JAMA. 1976 Nov 8;236(19):2183-6.

Hirsch A, Ruffle P, Nebut M, Bignon J, Chretien J. Pleural effusion: laboratory tests in 300 cases. Thorax. 1979;34(1):106-12.

Noppen M, De Waele M, Li R, Gucht KV, D'Haese J, Gerlo E, et al. Volume and cellular content of normal pleural fluid in humans examined by pleural lavage. Am J Respir Crit Care Med. 2000;162(3 Pt1):1023.

Chang SH, Perng RP. The role of fiberoptic bronchoscopy in evaluating the causes of pleural effusions. Arch Inter Med. 1989;149:855-7.

Burgess LJ, Maritz FJ, Taljaard JJ. Comparative analysis of the biochemical parameters used to distinguish between pleural transudates and exudates. Chest. 1995;107:1604-9.

Feinsilver SH, Barrows AA, Braman SS. Fiberoptic bronchoscopy and pleural effusion of unknown origin. Chest. 1986;90:516-9.

Light RW, Erozan YS, Ball WC. Cells in pleural fluid: their value in differential diagnosis. Arch Inter Medi. 1973 Dec 1;132(6):854-60.

Gupta KB, Chopra P. Use of fibreoptic bronchoscopy in increasing diagnostic yield in smear negative tubercular pleural effusion. Lung India. 2007 Jan 1;24(1):17-9.