title: "Sweet" hydrothorax complicating chronic peritoneal dialysis.
abstract: Massive pleural effusion occurring during continuous peritoneal dialysis (PD) is a rare, life-endangering complication of this procedure. We describe a case of a patient with type 2 diabetic end-stage renal disease (ESRD) treated by PD who had new-onset dyspnea, right pleural effusion, and uncontrolled hyperglycemia. Respiratory distress and pleural effusion progressed quickly during the course of dialysis. A large volume of a "sweet" fluid with a high glucose content was evacuated from the pleural space. Immediate improvement in the patient's condition and glucose control followed discontinuation of PD and initiation of hemodialysis.
authors.affiliation: Department of Internal Medicine D, Rambam Health Care Campus and Rappaport Faculty of Medicine, Technion Haifa Bat Galim 35254, Israel.
authors.forename: B
authors.initials: B
authors.lastname: Smolin
authors.forename: I
authors.initials: I
authors.lastname: Henig
authors.forename: Y
authors.initials: Y
authors.lastname: Levy