A Case of Bilateral Pleural Effusion Associated with Acute Hepatitis A |
급성 A형 간염에 동반된 양측 흉수 1례 |
정장한; 이태희; 나운태; 양정경; 구훈섭; 김광일; 강영우 |
|
|
Abstract |
Acute hepatitis A has many complications; but bilateral pleural effusion is a very rare
complication. Twenty seven year-old woman was admitted with complaints of general weakness
and dyspnea. On admission; both decubitus view of chest radiograph showed pleural fluid
accumulation and laboratory findings were as follows: AST/ALT 6;285/5;092 IU/L; total/direct
bilirubin 5.29/3.25 mg/dL; anti-HAV IgM (+). We performed diagnostic thoracentesis; but she
complained of more aggravated dyspnea on the seventh day of hospitalization. Chest radiograph
also showed more aggravated pleural fluid accumulation. We did therapeutic thoracentesis and
prescribed diuretics for seven days. On the fifteenth day of hospitalization; her general condition
was much improved and chest radiograph revealed no pleural effusion. Laboratory findings were
also improved: AST/ALT 94/22 IU/L; total bilirubin 14.92 mg/dL. This is a rare case of bilateral
pleural effusion associated with acute hepatitis A treated by thoracentesis and diuretics. |
Key Words:
Bilateral, Hepatitis A,
Pleural effusion |