Pleurisy, Pleural Effusions, and Empyema

Published on 27/03/2015 by admin

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Last modified 27/03/2015

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Chapter 404 Pleurisy, Pleural Effusions, and Empyema

Pleurisy or inflammation of the pleura is often accompanied by an effusion. The most common cause of pleural effusion in children is bacterial pneumonia (Chapter 392); heart failure (Chapter 436), rheumatologic causes, and metastatic intrathoracic malignancy are the next most common causes. A variety of other diseases account for the remaining cases, including tuberculosis (Chapter 207), lupus erythematosus (Chapter 152), aspiration pneumonitis (Chapter 389), uremia, pancreatitis, subdiaphragmatic abscess, and rheumatoid arthritis. Males and females are affected equally.

Inflammatory processes in the pleura are usually divided into 3 types: dry or plastic, serofibrinous or serosanguineous, and purulent pleurisy or empyema.

404.1 Dry or Plastic Pleurisy (Pleural Effusion)

Glenna B. Winnie and Steven V. Lossef

404.2 Serofibrinous or Serosanguineous Pleurisy (Pleural Effusion)