Investigating a Case of Recurrent Pleural Effusion
We describe the case of a patient with long-standing Parkinson's disease and recurrent bilateral pleural effusions. The pleural fluid was an exudate, rich in normal lymphocytes, and the echocardiogram, chest computerized axial tomography, and immunological, microbiological and cytological studi...
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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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Series: | Case Reports in Pulmonology |
Online Access: | http://dx.doi.org/10.1155/2011/695057 |
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author | Patrícia Rodrigues Maria Neves João Pedro Ferreira Miguel Araújo Abreu Fernanda Almeida |
author_facet | Patrícia Rodrigues Maria Neves João Pedro Ferreira Miguel Araújo Abreu Fernanda Almeida |
author_sort | Patrícia Rodrigues |
collection | DOAJ |
description | We describe the case of a patient with long-standing Parkinson's disease and recurrent bilateral pleural effusions. The pleural fluid was an exudate, rich in normal lymphocytes, and the echocardiogram, chest computerized axial tomography, and immunological, microbiological and cytological studies were negative. The patient had been taking bromocriptine, which can be related to chronic pleural effusions. Using Pubmed, we found about 40 cases of pleuropulmonary changes or constrictive pericarditis that were related to bromocriptine. We decided to suspend this drug, with resolution of the pleural effusion and respiratory complaints for more than a year now. We discuss possible underlining mechanisms for this and emphasize the importance of collecting the past medical history and medication and of considering possible iatrogenic effects. |
format | Article |
id | doaj-art-45208b5177774bf7b074a6886359536e |
institution | Kabale University |
issn | 2090-6846 2090-6854 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pulmonology |
spelling | doaj-art-45208b5177774bf7b074a6886359536e2025-02-03T01:32:56ZengWileyCase Reports in Pulmonology2090-68462090-68542011-01-01201110.1155/2011/695057695057Investigating a Case of Recurrent Pleural EffusionPatrícia Rodrigues0Maria Neves1João Pedro Ferreira2Miguel Araújo Abreu3Fernanda Almeida4Centro Hospitalar do Porto, Porto, PortugalCentro Hospitalar do Porto, Porto, PortugalCentro Hospitalar do Porto, Porto, PortugalCentro Hospitalar do Porto, Porto, PortugalCentro Hospitalar do Porto, Porto, PortugalWe describe the case of a patient with long-standing Parkinson's disease and recurrent bilateral pleural effusions. The pleural fluid was an exudate, rich in normal lymphocytes, and the echocardiogram, chest computerized axial tomography, and immunological, microbiological and cytological studies were negative. The patient had been taking bromocriptine, which can be related to chronic pleural effusions. Using Pubmed, we found about 40 cases of pleuropulmonary changes or constrictive pericarditis that were related to bromocriptine. We decided to suspend this drug, with resolution of the pleural effusion and respiratory complaints for more than a year now. We discuss possible underlining mechanisms for this and emphasize the importance of collecting the past medical history and medication and of considering possible iatrogenic effects.http://dx.doi.org/10.1155/2011/695057 |
spellingShingle | Patrícia Rodrigues Maria Neves João Pedro Ferreira Miguel Araújo Abreu Fernanda Almeida Investigating a Case of Recurrent Pleural Effusion Case Reports in Pulmonology |
title | Investigating a Case of Recurrent Pleural Effusion |
title_full | Investigating a Case of Recurrent Pleural Effusion |
title_fullStr | Investigating a Case of Recurrent Pleural Effusion |
title_full_unstemmed | Investigating a Case of Recurrent Pleural Effusion |
title_short | Investigating a Case of Recurrent Pleural Effusion |
title_sort | investigating a case of recurrent pleural effusion |
url | http://dx.doi.org/10.1155/2011/695057 |
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