Abstract

Introduction: Pleural effusions can occur as a complication of various diseases. The distribution of etiology of pleural effusion is also changing. Etiological distribution of bacterial pleural effusion depends on geographic region, patient age and advances in the diagnosis and treatment of the underlying causes TB, CKD, Malignancy, infection etc Aim and Objective: To analyse pleural fluid in Pleural effusion patient of chronic kidney disease and non chronic kidney disease, Methodology: This study comprises 150 cases of pleural effusion. Out of 150 cases of pleural effusion, 11 (7.3%) cases were CKD with pleural effusion and 139 (92.7%) cases were non-CKD pleural effusion. Various lab investigations done on pleural fluid like including complete blood count, BSL, 24 hour urine protein analysis (in CKD patients), Sputum Z-N stain, Gram’s stain, culture and sensitivity and Thoracocentesis (USG guided) Result and Discussion: Pleural fluid microscopy shows WBC count, lymphocyte count, and polymorphs were more significantly associated with non-tubercular effusion than CKD effusion. (p < 0.05) No difference were found in appearance of pleural fluid, pleural fluid protein, sugar and ADA in pleural effusion in CKD and non CKD. (p>0.05) No difference were found in type (transudative or exudative) of pleural fluid in pleural effusion in CKD and non CKD. (p>0.05) There were no significant difference found in Gram staining of pleural fluid andZ-N staining (sputum + pleural fluid) in CKD and non CKD. (p>0.05).

Authors and Affiliations