Assessment of Rare Case on Patient with Filariasis-Associated Bilateral Pleural Effusion
https://doi.org/10.47836/mjmhs.19.6.48
- Author:
Astuti Arseda
1
;
Dikes Simanjuntak
1
;
Tuti Pahria
2
;
Urip Rahayu
2
;
Nursiswati Nursiswati
2
Author Information
1. Master of Nursing Program, Faculty of Nursing, Universitas Padjadjaran, 45363 Sumedang, West Java, Indonesia
2. Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran 45363 Sumedang, West Java, Indonesia
- Publication Type:Case Reports
- Keywords:
Chylothorax, Filariasis, Pleural effusion, Postural drainage, Nursing
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.6):364-367
- CountryMalaysia
- Language:English
-
Abstract:
Bilateral pleural effusion is fluid accumulation in both lungs of pleural spaces. The clinical manifestations of bilateral
pleural effusion (chylothorax) caused by filariasis are so rare that they are often challenging to diagnose. This case
study described a 21-year-old woman, domiciled in Sumatra, with complaints of shortness of breath and swollen
legs. Radiological examination results found bilateral pleural effusion. Initially, it was suspected that the effusion was
caused by tuberculosis, Systemic Lupus Erythematosus (SLE), and malignancy; however, treatments for these did not
improve the patient’s condition. A Water Seal Drainage (WSD) was inserted and a chylous or chylothorax pleural
effusion was obtained, and microfilaria was founded in the nocturnal blood examinations. Oxygen and nursing interventions were administered using lung expansion and postural drainage techniques, supported by education on
effective coughing and deep breathing, along with the fulfillment of nutritional needs and dietary adjustments
- Full text:11.2023my1702.pdf
