Skip Navigation LinksHome > July 2014 - Volume 21 - Issue 3 > Recurrent Pleural Effusion Due to Duropleural Fistula
Journal of Bronchology & Interventional Pulmonology:
doi: 10.1097/LBR.0000000000000067
Brief Reports

Recurrent Pleural Effusion Due to Duropleural Fistula

Saini, Parmeet MD; Callejas, Leyda MD; Gudi, Madhav MD; Grosu, Horiana B. MD

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Abstract

A 76-year-old woman with history of multiple spinal surgeries was found to have chronic recurrent pleural effusion. Thoracentesis was performed, which showed a clear, “water-like” transudative fluid with a total protein level of 0.2 g/dL, glucose level equivalent to serum (118 mg/dL), low LDH level (76 U/dL), and low nucleated cell count. Given the appearance of the fluid, β-2-transferrin was checked, which confirmed the presence of cerebrospinal fluid in the pleural space. On the basis of the clinical presentation, pleural fluid analysis, clear appearance of the pleural fluid, and β-2-transferrin positivity, the patient was diagnosed with duropleural fistula.

Copyright © 2014 by Lippincott Williams & Wilkins

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