A "Sweet" Pleural Effusion
Clara Pintossi, Mariateresa Castellini, Alice Comaglio, Massimo Salvetti, Maria Lorenza Muiesan*
Postgraduate School of Emergency Medicine, Clinical and Experimental Sciences Department , University of Brescia and 2° Medicina Generale, Internal Medicine Department, Spedali Civili, Brescia, Italy
- Corresponding Author:
- Maria Lorenza Muiesan
Postgraduate School of Emergency Medicine
Clinical and Experimental Sciences Department
University of Brescia and 2° Medicina Generale
Internal Medicine Department, Spedali Civili, Brescia, Italy
E-mail: [email protected]
Received April 02, 2016; Accepted May 04, 2016; Published May 11, 2016
Citation: Pintossi C, Castellini M, Comaglio A, Salvetti M, Muiesan ML (2016) A “Sweet” Pleural Effusion. Emerg Med (Los Angel) 6:323. doi:10.4172/2165-7548.1000323
Copyright: ©2016 Pintossi C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Pleuroperitoneal leak should be considered in the differential diagnosis of a pleural effusion, expecially in patients on peritoneal dialysis. The existence of a pleuro-peritoneal leak is demonstrated by pleural fluid analysis: a transudate with high glucose content similar to the dialysate, together with a normal concomitant blood glucose concentration. Treatments for dialysate leaks include a variety of approaches, depending on the severity of symptoms and signs. We report the case of a 77 year old woman treated with automated peritoneal dialysis since 10 years due to chronic renal failure in polycystic kidney, presenting to the hospital with progressively worsening dyspnea, due to a non-conventional pleural effusion.