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Pleurisy Pleural linings and space (marked in blue) The pleural space can be invaded by fluid, air, and particles from other parts of the body, which fairly complicates diagnosis. [ 12 ] [ 13 ] Viral infection ( coxsackie B virus , HRSV , CMV , adenovirus , EBV , parainfluenza , influenza , COVID-19 ) is the most common cause of pleurisy.
Purulent Pericarditis; Echocardiogram showing pericardial effusion with signs of cardiac tamponade: Specialty: Cardiology: Symptoms: substernal chest pain (exacerbated supine and with breathing deeply), dyspnea, fever, rigors/chills, and cardiorespiratory signs (i.e., tachycardia, friction rub, pulsus paradoxus, pericardial effusion, cardiac tamponade, pleural effusion)
Tuberculous pericarditis is a condition that accounts for 1-2% of presentations of tuberculosis outside of the lungs. [2] It is found in people of all ages and typically affects males more frequently than females. [4]
Pericarditis is inflammation of the pericardium, the fibrous sac surrounding the heart. [8] Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back. [1]
The criteria for a complicated parapneumonic effusion include Gram stain–positive or culture-positive pleural fluid, pleural fluid pH <7.20, and pleural fluid LDH that is greater than three times the upper limit of normal of serum LDH. [2]
Fibrinous exudate is composed mainly of fibrinogen and fibrin. It is characteristic of rheumatic carditis, but is seen in all severe injuries such as strep throat and bacterial pneumonia. Fibrinous inflammation is often difficult to resolve due to blood vessels growing into the exudate and filling space that was occupied by fibrin.
The clinical syndrome is associated with pathological findings including pneumonia, eosinophilic pneumonia, cryptogenic organizing pneumonia, acute fibrinous organizing pneumonia, and diffuse alveolar damage (DAD). Of these, the pathology most commonly associated with ARDS is DAD, which is characterized by a diffuse inflammation of lung tissue.
Pleuritis or pleurisy is a inflammatory condition of pleurae. Due to the somatic innervation of the parietal pleura, pleural irritations, especially if from acute causes, often produce a sharp chest pain that is worse by breathing, known as pleuritic pain. [citation needed]