ABSTRACT
Background: Tetracycline, talc, and bleomycin have been proved to be effective in recurrent spontaneous pneumothorax andmalignant pleural effusion. Recent studies have shown the efficacy of 2% betadine in pleurodesis.Objective: The objective of this study was to find out the success rate of 2% betadine in pleurodesis in patients with recurrentspontaneous pneumothorax and malignant pleural effusions.Materials and Methods: The study was conducted in SVS Medical College, Mahabubnagar Dist., Telangana, during the periodof May 2016 - Feb 2019. Patients with malignant pleural effusion and recurrent spontaneous pneumothorax were taken intoconsideration. About 2% betadine with xylocaine was used in this study.Results: A total of 26 patients underwent pleurodesis. Eighteen patients had malignant pleural effusion and eight patients hadrecurrent spontaneous pneumothorax. Of 26 patients, 23 (88.5%) patients had successful pleurodesis. Among 23 patients whohad underwent successful pleurodesis, 16 had malignant pleural effusion and seven had recurrent spontaneous pneumothorax.Conclusion: In our observation, we have seen that pleurodesis with 2% betadine is very effective and inexpensive in pleurodesiswithout many complications
ABSTRACT
Introduction: Definition of undiagnosed pleural effusion was considered as the failure to achieve an etiologic diagnosis byinitial pleural fluid microbiological, biochemical analysis, and at least three pleural fluid cytologies negative for malignant cells orother definite causes. Medical thoracoscopy also referred to as pleuroscopy is an endoscopic evaluation of the pleural space.Thoracoscopy was mainly used in the etiological diagnosis of pleural effusions and therapeutic procedures such as pleurodesisand adhesiolysis. In around 20%–30% of cases, etiology remains unclear and in this context, thoracoscopy becomes animportant investigation modality.Materials and Methods: It is a prospective, interventional study taken up as a pilot project by the Department of PulmonaryMedicine of SVS Medical College and Hospital, Mahabubnagar, Telangana, India. A total of 30 patients were satisfyingthe inclusion criteria and were further studied for their thoracoscopic and histopathological findings from January 2018 toNovember 2018.Results: A total of 30 patients out of whom 19 patients were male (63.3%) and 11 patients (36.6%) were female. The mostcommon respiratory symptom was shortness of breath in 18 patients (60%) and cough in 12 patients (40%). Out of the total30 cases, 23 (76.66%) were malignant and 7 (23.33%) were diagnosed to be having tuberculosis (benign). According to thehistopathological diagnosis, 20 (66.6%) had metastatic adenocarcinoma, 7 (23.3%) had tuberculosis and malignant lymphoma,and metastatic squamous cell carcinoma and sarcoma were detected in 1 (3.3%) patient. According to thoracoscopic findings,13 (43.3%) patients had mass lesion, 12 (40%) patients had nodule, 3 (6.6%) patients had adhesions, and 2 (10%) patientshad plaques. Majority of the mass lesions 11 (36.66%) were metastatic adenocarcinomas and majority of nodules 5 (16.66%)were diagnosed as tuberculous lesions.
ABSTRACT
Introduction: Non-resolving or slowly resolving pneumonia is not uncommon, affecting 10–20% of patients admitted withcommunity-acquired pneumonia (CAP). Non-resolving pneumonia is a challenging clinical problem. Incidence of non-resolvingpneumonia was found to be 10–15% among hospitalized patients with CAP and of them 6% developed progressive pneumonia.This study aims to evaluate the patients of non-resolving or slowly resolving pneumonias to establish the cause of it.Methodology: It is a prospective, observational study taken up by the Department of Pulmonary Medicine of SVS MedicalCollege and Hospital, Mahabubnagar, Telangana. All the enrolled cases of non-resolving or slowly resolving pneumonia whichsatisfy the inclusive criteria were taken into the study from June 2017 to December 2018. A total of 28 patients were satisfyingthe inclusion criteria and were further studied for evaluating the causative factors. The study was started after taking the approvalof the Institutional Ethics Committee, SVS Medical College and Hospital, Mahabubnagar, Telangana.Observation and Results: The mean age of the patients was 48.2 years. Of 28 patients, 18 (64.2%) were male and 10 (35.7%)were female with a male:female ratio – 1.8:1. Fever (81%) and cough (86%) were the most common symptoms. Smoking wasthe most common comorbidity noted (60.7%) followed by alcoholism (46.6%), diabetes (39.28%), hypertension (25%), andchronic obstructive pulmonary disease (21.4%). The most common cause of non-resolution of pneumonia in this study wastuberculosis 11 (39.28%) followed by bacterial pneumonias 9 (32.1%) which were caused by drug-resistant organisms. Othercauses were malignancy 6 (21.4%), foreign body 1 (3.57%), and fungal pneumonia 1 (3.57%).