Table 2 Pleural fluid and diagnostic studies
Findings | Case 1 | Case 2 |
|---|---|---|
Pleural fluid | ||
WBC, 103/mm3 | 150 | 100 |
Pleural/serum protein (ratio) | <0.5 | <0.5 |
SPAG | >1 | >1 |
Pleural LDH, IU/l | NA | 49 |
Culture | Negative | Negative |
Cytology | Negative | Negative |
Tigecycline doses, total (mg) | 150 | 200 |
Pleural drainage | ||
Before the PL, ml | 2050 | 3500 |
Following PL, ml | 600 | 500 |
Duration of drainage, days | 10 | 14 |
Abdominal ultrasonography | Right massive pleural effusion with atelectasis left kidney stone (6 mm); liver: contour nodular, coarsened echo texture, C/RL >7, SM; ascites | Bilateral pleural effusion (right > left); liver: irregular external contour SM; minimal ascites |
Doppler ultrasound following pleurodesis | Liver: contour nodular, coarsened echo texture SM, collaterals in the perisplenic region, portal venous thrombosis | Liver, coarsened echo texture, SM, patent vascular structure |
Echocardiography | EF 55 %, 1° TR, 1° MR, left ventricular hypertrophy | EF 65 %, 1° TR, left atrial dilatation, aortic valve, and mitral annular calcification |