title: Diagnostic value of proinflammatory interleukins in parapneumonic effusions.
abstract: Pleural effusion appears in approximately 40% of patients with pneumonia. Given that microbiology results are often negative, its diagnosis is frequently based on clinical criteria. Our study consisted of 266 patients, divided into infectious (n = 34), tuberculous (n = 54), paraneoplastic (n = 63), miscellaneous exudates (n = 53), and transudates (n = 62). Interleukin (IL)-6, IL-8, and IL-1beta were measured in the pleural fluid and serum of all patients, as well as the different cell populations in the pleural fluid. Analysis of the receiver operating characteristic curves of the different ILs in pleural fluid for the diagnosis of parapneumonic/empyematous effusion showed IL-6 with a sensitivity of 38.2% and specificity of 97.4%, IL-8 with a sensitivity of 73.5% and specificity of 65.1%, IL-1beta with a sensitivity of 55.6% and specificity of 91.3%, and total neutrophil count in pleural fluid (PNEU) with a sensitivity of 62.9% and specificity of 91.1%. The combination of IL-1beta and PNEU improved the yield, with a sensitivity of 75.7% and a specificity of 83.1%.
authors.affiliation: Bioquímica Especial, Central Laboratory and Department of Pneumology, Complejo Hospitalario Universitario de Santiago de Compostela, La Coruña, Spain.
authors.forename: M Esther
authors.initials: ME
authors.lastname: San José
authors.forename: Luis
authors.initials: L
authors.lastname: Valdes
authors.forename: F Javier
authors.initials: FJ
authors.lastname: Gonzalez-Barcala
authors.forename: Luis
authors.initials: L
authors.lastname: Vizcaino
authors.forename: Manuel
authors.initials: M
authors.lastname: Garrido
authors.forename: Angeles
authors.initials: A
authors.lastname: Sanmartin
authors.forename: Sara
authors.initials: S
authors.lastname: Mougan
authors.forename: Antonio
authors.initials: A
authors.lastname: Pose
authors.forename: Angel
authors.initials: A
authors.lastname: Segade
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D053583:Interleukin-1beta / Q000097:blood; D015850:Interleukin-6 / Q000097:blood; D016209:Interleukin-8 / Q000097:blood; D007378:Interleukins / Q000032:analysis*; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D009504:Neutrophils / Q000166:cytology; D010996:Pleural Effusion / Q000097:blood* / Q000175:diagnosis; D012189:Retrospective Studies; D012680:Sensitivity and Specificity
chemical_list: D053583:Interleukin-1beta; D015850:Interleukin-6; D016209:Interleukin-8; D007378:Interleukins