Sweet hydrothorax: a common presentation of a rare condition

Sweet hydrothorax is a known, yet rare, complication of peritoneal dialysis. It can be life-threatening. This case is about a 70-year-old lady who presented with acute respiratory failure due to massive right-sided hydrothorax that developed insidiously over 3 months of starting peritoneal dialysis....

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Autores principales:	Mohamad Alhoda Mohamad Alahmad, Rahil Kasmani
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2019
Materias:	diaphragmatic defect peritoneal dialysis pleural effusion pleuroperitoneal communication sweet hydrothorax technetium scan Medicine R
Acceso en línea:	https://doaj.org/article/37b3126fb7c346ff91f335de901b8742
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spelling	oai:doaj.org-article:37b3126fb7c346ff91f335de901b87422021-12-02T17:58:14ZSweet hydrothorax: a common presentation of a rare condition2231-07702249-446410.4103/ajm.AJM_131_18https://doaj.org/article/37b3126fb7c346ff91f335de901b87422019-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_131_18https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Sweet hydrothorax is a known, yet rare, complication of peritoneal dialysis. It can be life-threatening. This case is about a 70-year-old lady who presented with acute respiratory failure due to massive right-sided hydrothorax that developed insidiously over 3 months of starting peritoneal dialysis. Thoracentesis and technetium scan confirmed the diagnosis. Treatment was successful with hemodialysis. Key messages – Peritoneal Dialysis (PD) can be complicated by sweet hydrothorax. – Symptoms onset after initiation of PD and symptoms resolve with its discontinuation suggest the diagnosis. – High gradient glucose level between pleural fluid and plasma is a hallmark feature of sweet hydrothorax. – Patients with life-threatening symptoms can consider hemodialysis or surgical options.Mohamad Alhoda Mohamad AlahmadRahil KasmaniThieme Medical and Scientific Publishers Pvt. Ltd.articlediaphragmatic defectperitoneal dialysispleural effusionpleuroperitoneal communicationsweet hydrothoraxtechnetium scanMedicineRENAvicenna Journal of Medicine, Vol 9, Iss 03, Pp 111-114 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	diaphragmatic defect peritoneal dialysis pleural effusion pleuroperitoneal communication sweet hydrothorax technetium scan Medicine R
spellingShingle	diaphragmatic defect peritoneal dialysis pleural effusion pleuroperitoneal communication sweet hydrothorax technetium scan Medicine R Mohamad Alhoda Mohamad Alahmad Rahil Kasmani Sweet hydrothorax: a common presentation of a rare condition
description	Sweet hydrothorax is a known, yet rare, complication of peritoneal dialysis. It can be life-threatening. This case is about a 70-year-old lady who presented with acute respiratory failure due to massive right-sided hydrothorax that developed insidiously over 3 months of starting peritoneal dialysis. Thoracentesis and technetium scan confirmed the diagnosis. Treatment was successful with hemodialysis. Key messages – Peritoneal Dialysis (PD) can be complicated by sweet hydrothorax. – Symptoms onset after initiation of PD and symptoms resolve with its discontinuation suggest the diagnosis. – High gradient glucose level between pleural fluid and plasma is a hallmark feature of sweet hydrothorax. – Patients with life-threatening symptoms can consider hemodialysis or surgical options.
format	article
author	Mohamad Alhoda Mohamad Alahmad Rahil Kasmani
author_facet	Mohamad Alhoda Mohamad Alahmad Rahil Kasmani
author_sort	Mohamad Alhoda Mohamad Alahmad
title	Sweet hydrothorax: a common presentation of a rare condition
title_short	Sweet hydrothorax: a common presentation of a rare condition
title_full	Sweet hydrothorax: a common presentation of a rare condition
title_fullStr	Sweet hydrothorax: a common presentation of a rare condition
title_full_unstemmed	Sweet hydrothorax: a common presentation of a rare condition
title_sort	sweet hydrothorax: a common presentation of a rare condition
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2019
url	https://doaj.org/article/37b3126fb7c346ff91f335de901b8742
work_keys_str_mv	AT mohamadalhodamohamadalahmad sweethydrothoraxacommonpresentationofararecondition AT rahilkasmani sweethydrothoraxacommonpresentationofararecondition
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Sweet hydrothorax: a common presentation of a rare condition

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