Document Detail

Exudative pleural effusions in patients over forty years of age--an analysis of seventy-six patients.
MedLine Citation:
PMID:  7996494     Owner:  NLM     Status:  MEDLINE    
A prospective study of 76 consecutive patients over the age of 40 years, with exudative pleural effusion, was undertaken to determine the common causes of such a clinical condition. Malignant pleural effusions were the most common in this series, found in 49 patients (64.47%), all but one being metastatic from elsewhere. Forty were secondary to a carcinoma of the bronchus, 3 from carcinoma of the breast, 1 each from carcinoma of the ovary, oesophagus, and larynx; lymphoma accounted for the remaining 2. Infective causes accounted for 24 of the effusions (31.57%). Of the infections, tuberculosis was the most common, accounting for 17 of the 24. Other infective causes included bacterial empyemas in 4, ruptured amoebic liver abscess in 2, and actinomycosis in 1. Pancreatitis, pulmonary thromboembolism, and a post-cardiotomy syndrome were diagnosed in 1 patient each, while the diagnosis remained unknown in the remaining 5 patients. In 2 patients the diagnosis was made on autopsy.
P P Prabhudesai; A A Mahashur; N Mehta; R Ajay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of postgraduate medicine     Volume:  39     ISSN:  0022-3859     ISO Abbreviation:  J Postgrad Med     Publication Date:    1993 Oct-Dec
Date Detail:
Created Date:  1995-01-13     Completed Date:  1995-01-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985196R     Medline TA:  J Postgrad Med     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  190-3     Citation Subset:  IM    
Dept of Chest Medicine, KEM Hospital, Parel, Bombay, Maharashtra.
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MeSH Terms
Age Factors
Aged, 80 and over
Exudates and Transudates
Infection / complications*,  epidemiology
Middle Aged
Neoplasms / complications*,  epidemiology
Pleural Effusion / chemistry,  diagnosis,  etiology*
Population Surveillance*
Prospective Studies
Comment In:
J Postgrad Med. 1993 Oct-Dec;39(4):178   [PMID:  7996490 ]

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