Clinical, Laboratory and Radiographic Features of Patients with Pneumonia and Parapneumonic Effusions
| Autor: | Sanja Petrusevska-Marinkovic, Irena Kondova-Topuzovska, Goran Kondov, Ankica Anastasovska, Zvonko Milenkovic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
clinical features Infectology lcsh:Medicine empiema Gastroenterology Parapneumonic effusion 03 medical and health sciences 0302 clinical medicine Internal medicine medicine parapneumonic effusion 030212 general & internal medicine laboratory features Lung business.industry lcsh:R General Medicine Clinical Science medicine.disease Comorbidity Empyema Surgery Pneumonia medicine.anatomical_structure 030228 respiratory system Effusion community-acquired pneumonia (CAP) radiographic features Heart failure empyema Medicine Differential diagnosis business |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences, Vol 4, Iss 3, Pp 428-434 (2016) Open Access Macedonian Journal of Medical Sciences; Vol. 4 No. 3 (2016): Sep 15 (OAMJMS); 428-434 Open Access Macedonian Journal of Medical Sciences; Vol 4, No 3 (2016): Sep 15 (OAMJMS); 428-434 |
| ISSN: | 1857-9655 |
| Popis: | BACKGROUND: Parapneumonic effusions complicating pneumonia are associated with increased morbidity and mortality.AIM: To determine the role of the clinical, laboratory and radiographic features to the differential diagnosis of patients with community- acquired pneumonia (CAP) without effusion, uncomplicated parapneumonic effusion (UCPPE) and complicated parapneumonic effusion (CPPE).MATERIAL AND METHODS: We analysed 148 patients with CAP without effusion, 50 with UCPPE and 44 with CPPE. In three groups of patients, the majority was male patients (58.11%, 58%, 61.36%) consequently.RESULTS: The chronic heart failure was the most common comorbidity in a group with CAP (28; 18.92%) and UCPPE (7; 14%), alcoholism (12;12.77%) in a group with CPPE. Patients with CPPE had significantly longer fever compared to patients with CAP without effusion (p = 0.003). Pleuritic chest pain (86.36%) and dyspnea (88.64%) were the most common symptoms in CPPE, then to group with UCPPE (60%; 52%), and in CAP without effusion (25.68%; 47,97%). Diffuse pulmonary changes were detected more frequently in the group with CAP without effusion compared with the group with CPPE (64.86 % vs. 27.27 %), while the segment lung changes were more common in patients with CPPE (50% vs. 20.27%). Patients with CPPE were significant with higher erythrocytes sedimentation rate (ESR), white blood cells (WBC) and serum C- reactive protein (CRP) than it the other two groups (p = 0.00090, p = 0.01, p= 0.000065).CONCLUSION:Proper analysis of clinical, laboratory and radiographic features of patients with CAP and parapneumonic effusion can prevent mismanagement in these patients and will reduce morbidity and mortality. |
| Databáze: | OpenAIRE |
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