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ID Design 2012/DOOEL Skopje, Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences.

http://dx.doi.org/10.3889/oamjms.2016.091
eISSN: 1857-9655

Clinical Science

 

 

Clinical, Laboratory and Radiographic Features of Patients with Pneumonia and Parapneumonic Effusions


 

Sanja Petrusevska-Marinkovic1*, Irena Kondova-Topuzovska1, Zvonko Milenkovic1, Goran Kondov2, Ankica Anastasovska1


1University Infectious Diseases Clinic, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia; 2University Thoracocardiovascular Surgery Clinic, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia
 

Abstract

 

 

BACKGROUND: Parapneumonic effusions complicating pneumonia are associated with increased morbidity and mortality.

AIM: To determine the role of the clinical, laboratory and radiographic features to the differential diagnosis of patients with community- acquired pneumonia (CAP) without effusion, uncomplicated parapneumonic effusion (UCPPE) and complicated parapneumonic effusion (CPPE).

MATERIAL AND METHODS: We analysed 148 patients with CAP without effusion, 50 with UCPPE and 44 with CPPE. In three groups of patients, the majority was male patients (58.11%, 58%, 61.36%) consequently.

RESULTS: The chronic heart failure was the most common comorbidity in a group with CAP (28; 18.92%) and UCPPE (7; 14%), alcoholism (12;12.77%) in a group with CPPE. Patients with CPPE had significantly longer fever compared to patients with CAP without effusion (p = 0.003). Pleuritic chest pain (86.36%) and dyspnea (88.64%) were the most common symptoms in CPPE, then to group with UCPPE (60%; 52%), and in CAP without effusion (25.68%; 47,97%). Diffuse pulmonary changes were detected more frequently in the group with CAP without effusion compared with the group with CPPE (64.86 % vs. 27.27 %), while the segment lung changes were more common in patients with CPPE (50% vs. 20.27%). Patients with CPPE were significant with higher erythrocytes sedimentation rate (ESR), white blood cells (WBC) and serum C- reactive protein (CRP) than it the other two groups (p = 0.00090, p = 0.01, p= 0.000065).

CONCLUSION: Proper analysis of clinical, laboratory and radiographic features of patients with CAP and parapneumonic effusion can prevent mismanagement in these patients and will reduce morbidity and mortality.

..................

Citation: Petrusevska-Marinkovic S, Kondova-Topuzovska I, Milenkovic Z, Kondov G, Anastasovska A. Clinical, Laboratory and Radiographic Features of Patients with Pneumonia and Parapneumonic Effusions. Open Access Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2016.091
Keywords: community-acquired pneumonia (CAP); parapneumonic effusion; empyema; clinical features; laboratory features; radiographic features.
*Correspondence: Sanja Petrusevska Marinkovic, MD. University Infectious Diseases Clinic, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia. Tel.: 00389 72 206 661. E-mail: sanjapm@yahoo.com
Received: 22-Jul-2016; Revised: 08-Aug-2016; Accepted: 22-Aug-2016; Online first: 23-Aug-2016
Copyright: © 2016 Sanja Petrusevska-Marinkovic, Irena Kondova-Topuzovska, Zvonko Milenkovic, Goran Kondov, Ankica Anastasovska. 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.
Competing Interests: The authors have declared that no competing interests exist.

 

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- Petrusevska-Marinkovic S
- Kondova-Topuzovska I
- Milenkovic Z
- Kondov G
- Anastasovska A


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- Petrusevska-Marinkovic S
- Kondova-Topuzovska I
- Milenkovic Z
- Kondov G
- Anastasovska A

 

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Published by: Id Design 2012/DOOEL Skopje, Republic of Macedonia


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