一名年轻女性患者继发于特发性胸膜炎的复发性双侧胸腔积液

Muzdah Anwar, Sree Jambunathan, Kashvi Patel, Zaid Zakaria, Faraz Badar, Amna Al-Tkrit, Fadi Safi, Mohamed A Omballi
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引用次数: 0

摘要

发热。腹部 CT 显示双侧胸腔积液、心包积液、腹水,无卵巢肿块。肝脏超声波检查显示回声纹理正常,无肝硬化。尿检显示无蛋白尿。心脏磁共振成像显示没有浸润性疾病。无肺动脉高压。胸腔积液细胞学检查呈阴性。患者接受了胸膜活检和胸导管置入的透视检查。胸膜活检显示患者患有胸膜炎。她接受了经验性泼尼松治疗,并计划接受右侧心导管检查,以排除缩窄性心包炎或限制性心肌病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrent Bilateral Pleural Effusion Secondary to Idiopathic Pleuritis in a Young Female Patient
Fever. CT abdomen revealed bilateral pleural effusion, pericardial effusion, ascites, and no ovarian masses. Liver ultrasound showed normal echotexture and no cirrhosis. Urinalysis showed no proteinuria. Cardiac MRI showed no infiltrative disease. No pulmonary hypertension. Cytology from the pleural fluid has been negative. Patient underwent fluoroscopy with pleural biopsy and pleurx catheter placement. Pleural biopsy showed pleuritis. She received empiric prednisone with plan for right-sided heart catheterization to rule out constrictive pericarditis or restrictive cardiomyopathy.
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