Can tuberculous pleural effusions be diagnosed by pleural fluid analysis alone?

International Journal of Tuberculosis and Lung Disease

Volumn 17, Issue 6, 2013, Pages 787-793

  Sahn, Steven A ^a   Huggins, J T ^a   San Jose M E ^b   Alvarez Dobano J M ^b   Valdes L ^b  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^b HOSPITAL CLÍNICO UNIVERSITARIO   (Spain)

Author keywords

ADA; Adenosine deaminase; Lymphocytosis; Total protein

Indexed keywords

ADENOSINE DEAMINASE; CHOLESTEROL; GLUCOSE; TRIACYLGLYCEROL;

ADOLESCENT; ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; BACTERIUM CULTURE; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; EMPYEMA; HISTOPATHOLOGY; HUMAN; LUNG BIOPSY; LUNG DISEASE; LUNG EXAMINATION; LYMPHOCYTE COUNT; MACROPHAGE; MAJOR CLINICAL STUDY; MALIGNANT PLEURA EFFUSION; NEUTROPHIL COUNT; PARAPNEUMONIA; PH; PLEURA EFFUSION; PLEURA FLUID; PLEURA FLUID ANALYSIS; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; TUBERCULOUS PLEURA EFFUSION;

ADENOSINE DEAMINASE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; EMPYEMA, PLEURAL; FEMALE; GLUCOSE; HUMANS; HYDROGEN-ION CONCENTRATION; LYMPHOCYTES; MACROPHAGES; MALE; MIDDLE AGED; NEUTROPHILS; PLEURAL EFFUSION; PLEURAL EFFUSION, MALIGNANT; PROBABILITY; SENSITIVITY AND SPECIFICITY; TUBERCULOSIS, PLEURAL; YOUNG ADULT;

EID: 84878297516     PISSN: 10273719     EISSN: None     Source Type: Journal    
DOI: 10.5588/ijtld.12.0892     Document Type: Article

References (35)

1. Valdés L, Álvarez D, Valle J M, Pose A, San José E. The etiology of pleural effusions in an area with high incidence of tuberculosis. Chest 1996; 109: 158-162. (Pubitemid 26017612)
2. Informe da tuberculose en Galicia. Características dos casos de tuberculose de Galicia no ano 2010. Evolución do período 1996-2010 . Versión ampliada 29.11.2011. Galicia, Spain: Xunta de Galicia, 2011. http://www.sergas.es/gal/DocumentacionTecnica/docs/SaudePublica/Tuberculose/ Informe%20TB%202010-ampliado-galego.pdf Accessed March 2013. [Galician]
3. Baumann M H, Nolan R, Petrini M, et al. Pleural tuberculosis in the United States. Incidence and drug resistance. Chest 2007; 131: 1125-1132. (Pubitemid 46608716)
4. Sahn S A. State of the art: the pleura. Am Rev Respir Dis 1989; 138: 188-234.
5. Leibowitz S, Kennedy L, Lessof M H. The tuberculin reaction in the pleural cavity and its suppression by antilymphocyte serum. Br J Exp Pathol 1973; 54: 152-162.
6. Stead W W, Eichenholz A, Stauss H K. Operative and pathologic findings in twenty-four patients with syndrome of idiopathic pleurisy with effusion, presumably tuberculosis. Am Rev Tuberc 1955; 71: 473-502.
7. Valdés L, Álvarez D, San José E, et al. Tuberculous pleurisy. A study of 254 cases. Arch Intern Med 1998; 158: 2017-2021. (Pubitemid 28465626)
8. Villena-Garrido V, Ferrer-Sancho J, Hernández-Blasco L, et al. Diagnosis and treatment of pleural effusion. Arch Bronconeumol 2006; 42: 349-372. [Spanish]
9. Cruz-Ferro E, Fernández-Nogueira E. Epidemiology of tuberculosis in Galicia, Spain, 1996-2005. Int J Tuberc Lung Dis 2007; 11: 1073-1079. (Pubitemid 47605396)
10. Valdés L, Ferreiro L, Cruz-Ferro E, et al. Recent epidemiological trends in tuberculous pleural effusion in Galicia, Spain. Eur J Intern Med 2012; 23: 727-732.
11. Informe VIH-SIDA en Galicia. Diagnósticos de infección polo VIH: 2004-2009. Casos de Sida: 1984-2009 . Galicia, Spain: Xunta de Galicia, 2010. http://www.sergas.es/Publicaciones/DetallePublicacion.aspx?IdPaxina= 40008&IDCatalogo=2012 Accessed March 2013. [Galician]
12. Giusti G. Adenosine deaminase. In: Bergmeyer H U, ed. Methods of enzymate analysis. New York, NY, USA: Academic Press, 1974: pp 1092-1099.
13. DeLong E R, DeLong D M, Clarke-Pearson D L. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 1988; 44: 837-845.
14. Joseph J, Badrinath P, Basran G S, Sahn S A. Is the pleural fluid transudate or exudate? A revisit of the diagnostic criteria. Thorax 2001; 56: 867-870. (Pubitemid 32999835)
15. Moudgil H, Sridhar G, Leitch A G. Reactivation disease: the commonest form of tuberculous pleural effusion in Edinburgh, 1980-1991. Respir Med 1994; 88: 301-304. (Pubitemid 24157705)
16. Gopi A, Madhavan S M, Sharma S K, Sahn S A. Diagnosis and treatment of tuberculous pleural effusion in 2006. Chest 2007; 131: 880-889. (Pubitemid 46446885)
17. Sharma S K, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res 2004; 120: 316-353. (Pubitemid 39504471)
18. Antonangelo L, Vargas F S, Seiscento M, Bombarda S, Teixera L, Sales R K. [Clinical and laboratory parameters in the differential diagnosis of pleural effusion secondary to tuberculosis or cancer]. Clinics (San Paulo) 2007; 62: 585-590. [Portuguese]
19. Zaric B, Kuruc V, Milovancev A, et al. Differential diagnosis of tuberculous and malignant pleural effusions: what is the role of adenosine deaminase? Lung 2008; 186: 233-240.
20. Porcel J M. Tuberculous pleural effusion. Lung 2009; 187: 263-270.
21. Light R W. Tuberculous pleural effusions. In: Light R W, ed. Pleural diseases. 3rd ed. Baltimore, MD, USA: Williams & Wilkins, 1995: pp 154-166.
22. Valdés L, San José E, Álvarez D, et al. Diagnosis of tuberculous pleurisy using the biologic parameters adenosine deaminase, lysozyme, and interferon-γ. Chest 1993; 103: 458-465. (Pubitemid 23070745)
23. Liang Q L, Shi H Z, Wang K, Qin S M, Qin X J. Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: a meta-analysis. Respir Med 2008; 102: 744-754.
24. Valdés L, Alvarez D, San José E, et al. Value of adenosine deaminase in the diagnosis of tuberculous pleural effusions in young patients in a region of high prevalence of tuberculosis. Thorax 1995; 50: 600-603.
25. Valdés L, San José M E, Pose A, et al. Diagnosing tuberculous pleural effusion using clinical data and pleural fluid analysis. A study of patients less than 40 years old in an area with a high incidence of tuberculosis. Respir Med 2010; 104: 1211-1217.
26. Valdés L, Pose A, San José E, Martínez Vázquez J M. Tuberculous pleural effusions. Eur J Intern Med 2003; 14: 77-88. (Pubitemid 36457948)
27. Ferrer J S, Muñoz X G, Orriols R M, Light R W, Morell F B. Evolution of idiopathic pleural effusion. A prospective, long-term follow-up study. Chest 1996; 109: 1508-1513.
28. Sahn S A. The value of pleural fluid analysis. Am J Med Sci 2008; 335: 7-15.
29. Yam L T. Diagnostic significance of lymphocytes in pleural effusions. Ann Intern Med 1967; 66: 972-982.
30. Antony V B, Repine J E, Harada R N, Good J T Jr, Sahn S A. Inflammatory response in experimental tuberculosis pleurisy. Acta Cytol 1983; 27: 355-361. (Pubitemid 13071795)
31. Antony V B, Sahn S A, Antony A C, Repine J E. Bacillus Calmette-Guérin-stimulated neutrophils release chemotaxins for monocytes in rabbit pleural spaces and in vitro. J Clin Invest 1985; 76: 1514-1521. (Pubitemid 16193569)
32. Light R W, MacGregor M I, Luchsinger P C, Ball W C. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 1972; 77: 507-513.
33. Chernow B, Sahn S A. Carcinomatous involvement of the pleura: analysis of 96 patients. Am J Med 1977; 63: 695-702. (Pubitemid 8222934)
34. Sahn S A, Good J T Jr. Pleural fluid pH in malignant effusions. Diagnostic, prognostic and therapeutic implications. Ann Intern Med 1988; 108: 345-349.
35. Valdés L, San José E, Álvarez-Dobaño J M, et al. Diagnostic value of interleukin-12 p40 in tuberculous pleural effusions. Eur Respir J 2009; 33: 816-820.