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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Main Authors: Patrícia Rodrigues, Maria Neves, João Pedro Ferreira, Miguel Araújo Abreu, Fernanda Almeida
Format: Article
Language:English
Published: Wiley 2011-01-01
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.
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institution Kabale University
issn 2090-6846
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language English
publishDate 2011-01-01
publisher Wiley
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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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AT marianeves investigatingacaseofrecurrentpleuraleffusion
AT joaopedroferreira investigatingacaseofrecurrentpleuraleffusion
AT miguelaraujoabreu investigatingacaseofrecurrentpleuraleffusion
AT fernandaalmeida investigatingacaseofrecurrentpleuraleffusion