Eosinophilic pleural effusion associated with recovery from viral hepatitis A.
Pleural effusion represents a rare complication of acute viral hepatitis; only one case has been reported in association with type A viral hepatitis. We report here the second case, in a 24-year-old female nurse who developed a large symptomatic right pleural effusion 9 weeks after the onset of fulminant type A viral hepatitis. Ascites and edema did not develop. The effusion, exudative with an eosinophilic cellular predominance, manifested 2 weeks following recovery from viral hepatitis and resolved spontaneously. Other causes were excluded by investigation. This is the first report of a pleural effusion complicating viral hepatitis during the recovery period; moreover, it is the first case associated with pleural fluid eosinophilia.
Department of Medicine, University of Toronto, Ontario, Canada.
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WW
Simmons
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Warren
D000328:Adult; D003289:Convalescence; D004802:Eosinophilia / Q000209:etiology*; D005260:Female; D006506:Hepatitis A / Q000150:complications*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography