Intrapleural Streptokinase in Management of Multiloculated Pleural Effusion as a Complication of Frequent Relapse Nephrotic Syndrome - A Case Report

Authors

  • Manoj Gupta Department of Pediatrics and Adolescent Medicine, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.
  • Md. Ashfaque Ansari Department of Pediatrics and Adolescent Medicine, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.
  • Sijan Kharel Department of Pediatrics and Adolescent Medicine, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.
  • Roshan Maharjan Department of Pediatrics and Adolescent Medicine, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.
  • Priyanka Shrestha Department of Pediatrics and Adolescent Medicine, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.
  • Anjana K.C. Department of Pathology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal.

DOI:

https://doi.org/10.3126/medphoenix.v8i1.53871

Keywords:

Chest Tube Drainage, Pleural effusion, Streptokinase

Abstract

Treatment of pleural effusion with intrapleural administration of fibrinolytic drugs has proven to be efficient and secure. Patients with pleural effusion who receive streptokinase instillations in conjunction with chest tube draining avoid surgery and have better outcomes. Its application in multiloculated pleural effusion, which develops as a nephrotic syndrome consequence, has only occasionally been documented. We describe a case of multiloculated pleural effusion that did not react to conventional chest tube drainage but resolved completely and dramatically in response to intrapleural streptokinase.

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Published

2023-07-30

How to Cite

Gupta, M., Ansari, M. A., Kharel, S., Maharjan, R., Shrestha, P., & K.C., A. (2023). Intrapleural Streptokinase in Management of Multiloculated Pleural Effusion as a Complication of Frequent Relapse Nephrotic Syndrome - A Case Report. Med Phoenix, 8(1), 89–91. https://doi.org/10.3126/medphoenix.v8i1.53871

Issue

Section

Case Reports