TAILIEUCHUNG - Báo cáo y học: " Beta-2-transferrin to detect cerebrospinal fluid pleural effusion: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Beta-2-transferrin to detect cerebrospinal fluid pleural effusion: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Beta-2-transferrin to detect cerebrospinal fluid pleural effusion a case report Jennifer C Smith and Eyal Cohen Open Access Address Division of Pediatric Medicine Department of Paediatrics The Hospital for Sick Children University of Toronto Toronto Canada Email JS - EC - Corresponding author Published 13 March 2009 Received 22 March 2008 Journal of Medical Case Reports 2009 3 6495 doi I752-I947-3-6495 Accepted 22 January 2009 This article is available from http jmedicalcasereports article view 3 3 6495 2009 Smith and Cohen licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pleural effusion secondary to ventriculoperitoneal shunt insertion is a rare and potentially life-threatening occurrence. Case presentation We describe a I4-month-old Caucasian boy who had a ventriculoperitoneal shunt inserted for progressive hydrocephalus of unknown etiology. Two and a half months post-shunt insertion the patient presented with mild respiratory distress. A chest radiograph revealed a large right pleural effusion and a shunt series demonstrated an appropriately placed distal catheter tip. A subsequent abdominal ultrasound revealed marked ascites. Fluid drained via tube thoracostomy was sent for beta-2-transferrin electrophoresis. A positive test was highly suggestive of cerebral spinal fluid hydrothorax. Post-externalization of the ventriculoperitoneal shunt the ascites and pleural effusion resolved. Conclusion Testing for beta-2-transferrin protein in pleural fluid may serve as a useful technique for diagnosing cerebrospinal fluid hydrothorax in patients with ventriculoperitoneal shunts. .

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