title: Intrapleural streptokinase for the treatment of chylothorax.
abstract: Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young  woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleural streptokinase, which improved her condition.
authors.affiliation: Department of Internal Medicine, International Islamic University of Malaysia, Kuantan, Malaysia. kychunn@yahoo.com
authors.forename: Yeh Chunn
authors.initials: YC
authors.lastname: Kuan
authors.forename: Soon Hin
authors.initials: SH
authors.lastname: How
authors.forename: Teck Han
authors.initials: TH
authors.lastname: Ng
authors.forename: Mohammed Fauzi
authors.initials: MF
authors.lastname: Abdul Rani
mesh_terms: D002916:Chylothorax / Q000175:diagnosis / Q000188:drug therapy* / Q000628:therapy; D004041:Dietary Fats / Q000008:administration & dosage; D004322:Drainage; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007263:Infusions, Parenteral; D007322:Instillation, Drug; D010289:Parenteral Nutrition, Total; D035422:Pleural Cavity; D010996:Pleural Effusion / Q000378:metabolism; D013300:Streptokinase / Q000008:administration & dosage*; D055815:Young Adult
chemical_list: D004041:Dietary Fats; D005343:Fibrinolytic Agents; D013300:Streptokinase