Comparision of Adenosine Deaminase [ADA] Levels with Cyto-Chemical Analysis of Pleural Fluids to Differentiate Tubercular and Non – Tubercular Effusions..

ABSTRACT

This study is intended to utilize biochemical parameters like ADA and protein levels in comparison with cell count and cell type in pleural fluid to differentiate tubercular and non-tubercular effusions. We have analyzed a total of 208 cases and among them 59.61% cases were ADA positive and 40.39% cases were ADA negative, and 156 cases were exudates and 52 cases were transudates. Categorized these effusions into 4 groups taking consideration of ADA, cell count, lymphocyte and protein levels as exudate with ADA positive, exudate with ADA negative, transudate with ADA positive and transudate with ADA negative. This study has shown promising results to diagnose tuberculosis with immediate and cost effectiveness that can be undertaken by any basic laboratory, in a endemic areas and developing countries like India.