Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria.

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dc.contributor.authorAdeoye, O.P
dc.contributor.authorJohnson, 'W.B.R
dc.contributor.authorDesalu, O.O
dc.contributor.authorOfoegbu, C.P
dc.contributor.authorFawibe, E.A
dc.contributor.authorSalami, A.K
dc.contributor.authorAkin-Dosunmu, A
dc.contributor.authorIbraheem, R.M
dc.date.accessioned2018-06-08T12:22:22Z
dc.date.available2018-06-08T12:22:22Z
dc.date.issued2017
dc.description.abstractBackground: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. Materials and Methods: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. Results: PE accounted for 0.5% of the total hospital admissions. The most common cause of PE was tuberculosis (TB) (32.9%), followed by malignancy (29.1%) and pneumonia (15.0%). The male to female ratio was 1.3:1. TB was the leading cause of effusion in males, while it was malignancy in females. Pneumonia accounted for 61.9% of PE in preschool age and 66.7% in school age. Breathlessness (50.0%), cough (39.4%), and chest pain (24.9%) were the common presentations. Most (90.1%) of them were exudative effusion and with half in the right lung. Chest radiography (91.6%), pleural fluid for Ziehl–Neelsen stain (74.7%), cytology (59.2%), and tissue biopsy (57.8%) were the common diagnostic investigations. The majority (92.0%) had closed thoracostomy tube drainage, while 9.9% had chemical pleurodesis. The intra-hospital mortality was 10 (4.7%). Conclusion: TB, malignancy, and pneumonia are the leading causes of PE. A multidisciplinary approach is needed for optimal management.en_US
dc.identifier.citationAdeoye PO, Johnson WR, Desalu OO, Ofoegbu CP, Fawibe AE, Salami AK, Fadeyi A, Akin-Dosumu AA, Rasheedat IM. Etiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria. Niger Med J 2017;58:76-80en_US
dc.identifier.urihttp://www.nigeriamedj.com/text.asp?2017/58/2/76/219349
dc.identifier.urihttp://hdl.handle.net/123456789/434
dc.language.isoenen_US
dc.publisherNigeria Medical Associationen_US
dc.subjectEtiologyen_US
dc.subjectManagementen_US
dc.subjectNigeriaen_US
dc.subjectPatternen_US
dc.subjectPleural effusionen_US
dc.titleEtiology, clinical characteristics, and management of pleural effusion in Ilorin, Nigeria.en_US
dc.typeArticleen_US

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