Different Infective and Non-Infective Etiology of Exudative Pleural Fluid Effusion: Experience of 50 Cases in Bangladesh

Muhammad Tanvir Mohith, Mohammed Ziaur Rahman, Tajin Zannat, Abdullah Md Abu Ayub Ansary, Mahnaz Syed, Mostofa Kamal
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Abstract

Background: Several diseases are responsible for the causation of exudative pleural fluid effusion among patients. Objective: The purpose of the present study was to identify the etiologies of exudative pleural fluid effusion. Methodology: This cross-sectional study was carried out at medicine indoor department of Sylhet MAG Osmani Medical College Hospital, Sylhet over a period of six month from October 2009 to March 2010. Patients who were admitted with pleural effusion were selected as the study population. Pleural fluid was collected by a physician. The laboratory tests were performed in the Department of Laboratory medicine of the Hospital. The different etiologies were determined by the different diagnostic tests. Results: A total of 50 cases were selected consecutively in the study. Out of 50 patients, 28.0% was in the range of 41 to 50 years followed by 26.0% between 31 to 40 years. Tuberculosis was the most common cause of exudative pleural effusion and among 50 cases of effusion 30 were due to tuberculosis (60%). Malignancy was found as the 2nd common cause of exudative pleural effusion (24.0%). Pneumonia was found as the 3rd common cause of exudative pleural effusion (10.0%). Conclusion: In conclusion tuberculosis is the most common cause of exudative pleural effusion followed by malignancy. Bangladesh Journal of Medical Microbiology, January 2023;17(1):10-14
孟加拉国50例胸腔渗出性积液的不同感染与非感染病因分析
背景:几种疾病可引起胸腔渗出性积液。目的:本研究的目的是确定渗出性胸腔积液的病因。方法:本横断面研究于2009年10月至2010年3月在锡尔赫特MAG Osmani医学院医院内科室内部进行,为期6个月。以胸腔积液入院的患者作为研究人群。医生收集了胸腔积液。实验室检查在医院检验医学科进行。不同的病因是由不同的诊断试验确定的。结果:本研究共连续入选50例。在50例患者中,28.0%的患者年龄在41 - 50岁之间,26.0%的患者年龄在31 - 40岁之间。结核是最常见的胸腔渗出性积液的原因,50例积液中有30例是由结核引起的(60%)。恶性肿瘤是胸腔渗出性积液的第二大常见原因(24.0%)。肺炎是胸腔渗出性积液的第三常见原因(10.0%)。结论:结核是胸腔渗出性积液最常见的病因,其次为恶性肿瘤。孟加拉医学微生物学杂志,2023年1月;17(1):10-14
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