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Kim, Kim, Ku, Choi, Kim, Chin, and Oh: A Case of Posttraumatic Pleural Effusion with Peripheral Eosinophilia
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2008; 64(5): 379-382.

Published online: 31 May 2008

DOI: https://doi.org/10.4046/trd.2008.64.5.379

A Case of Posttraumatic Pleural Effusion with Peripheral Eosinophilia

Jong-Hun Kim, M.D., Young-Saeng Kim, M.D., Bon-Ho Ku, M.D., Yu-Kyung Choi, M.D., Do-Hoon Kim, M.D., Jae-Yong Chin, M.D., Mi-Jung Oh, M.D.

Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.

Address for correspondence: Mi-Jung Oh, M.D. Department of Internal Medicine, Bundang Jesaeng General Hospital, 255-2, Seohyun-dong, Bundang-gu, Seongnam 463-774, Korea. Phone: 82-31-779-0695, Fax: 82-31-779-0897, mjoh@dmc.or.kr

Received 17 April 2008       Accepted 7 May 2008

Copyright © 2008 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Eosinophilic pleural effusions (EPE) are defined as those effusions that contain at least 10% eosinophils, and EPE can be associated with peripheral blood eosinophilia in a variety of systemic diseases. There have been a few cases that have addressed the association of peripheral blood eosinophilia and posttraumatic EPE, and this condition can be misdiagnosed as being the result of other causes due to the delayed presentation. We report here on a case of 47-year-old male who presented with eosinophilic pleural effusion associated with peripheral blood eosinophilia at 2 months after minor chest trauma. We excluded the other possible causes such as consumption of drugs, parasite infection, malignancy, diseases of pulmonary eosinophilic infiltration, autoimmune diseases and pulmonary thromboembolism. We observed his clinical course without specific treatment. Three months later, the pleural effusion completely disappeared and the number of peripheral eosinophils returned to normal.

Keywords: Pleural effusion, Eosinophilia, Trauma

Figures and Tables

Figure 1
Initial chest PA & right decubitus show a right pleural effusion (A, B). A follow-up chest PA (3 months later) shows a complete disappearance of right pleural effusion (C).
trd-64-379-g001
Figure 2
Chest CT scan shows a fracture of posterior arc of 10th rib (A). Chest CT scan shows a right pleural effusion with passive atelectasis, not showing any parenchymal abnormalities (B, C).
trd-64-379-g002

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