An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death
Here we report a 22-year old woman with massive and bilateral transudative effusion succeeded by pulmonary edema and brain edema and death. Investigations for systemic disorders were negative. Exacerbation of dyspnea after intravenous fluid infusion was a main problem. As effusion was refractory to...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2012/896409 |
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| author | Sayyed Gholam Reza Mortazavimoghaddam H. R. Riasi |
| author_facet | Sayyed Gholam Reza Mortazavimoghaddam H. R. Riasi |
| author_sort | Sayyed Gholam Reza Mortazavimoghaddam |
| collection | DOAJ |
| description | Here we report a 22-year old woman with massive and bilateral transudative effusion succeeded by pulmonary edema and brain edema and death. Investigations for systemic disorders were negative. Exacerbation of dyspnea after intravenous fluid infusion was a main problem. As effusion was refractory to medical treatment, the patient was referred for surgical pleurodesis and bilateral surgical pleurodesis were done separately. Postsurgically, dyspnea exacerbation occurred after each common cold infection. Vertigo and high intracranial pressure were also a problem postsurgically. CSF pressure was 225 mm/H2O. Therapeutic lumbar puncture was done in two sequential weeks, and the patient was on acetazolamide 250 mg/trivise a day. Despite the medical treatment, progressive dyspnea, headache, and high intracranial pressure followed by death nine months after pleurodesis. As there is a gradient of pressure between pleura and CSF, after pleurodesis brain edema must be a consequence of inversing this gradient. In conclusion, when there are any abnormalities about fluid volume or pressure in any of these cavities, we have to study other cavities. |
| format | Article |
| id | doaj-art-e7ea9e1331224e5aba773c123f69e22b |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-e7ea9e1331224e5aba773c123f69e22b2025-02-03T05:58:14ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/896409896409An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and DeathSayyed Gholam Reza Mortazavimoghaddam0H. R. Riasi1Pulmonary Ward, Vali-e-Asr Hospital, Birjand University of Medical Sciences, Birjand 9718766995, IranNeurologic Ward, Vali-e-Asr Hospital, Birjand University of Medical Sciences, Birjand 9718766995, IranHere we report a 22-year old woman with massive and bilateral transudative effusion succeeded by pulmonary edema and brain edema and death. Investigations for systemic disorders were negative. Exacerbation of dyspnea after intravenous fluid infusion was a main problem. As effusion was refractory to medical treatment, the patient was referred for surgical pleurodesis and bilateral surgical pleurodesis were done separately. Postsurgically, dyspnea exacerbation occurred after each common cold infection. Vertigo and high intracranial pressure were also a problem postsurgically. CSF pressure was 225 mm/H2O. Therapeutic lumbar puncture was done in two sequential weeks, and the patient was on acetazolamide 250 mg/trivise a day. Despite the medical treatment, progressive dyspnea, headache, and high intracranial pressure followed by death nine months after pleurodesis. As there is a gradient of pressure between pleura and CSF, after pleurodesis brain edema must be a consequence of inversing this gradient. In conclusion, when there are any abnormalities about fluid volume or pressure in any of these cavities, we have to study other cavities.http://dx.doi.org/10.1155/2012/896409 |
| spellingShingle | Sayyed Gholam Reza Mortazavimoghaddam H. R. Riasi An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death Case Reports in Pulmonology |
| title | An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death |
| title_full | An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death |
| title_fullStr | An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death |
| title_full_unstemmed | An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death |
| title_short | An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death |
| title_sort | unusual transudative pleural effusion succeeded by pulmonary and brain edema and death |
| url | http://dx.doi.org/10.1155/2012/896409 |
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