George R B, Penn R L, Kinasewitz G T
Clin Chest Med. 1985 Mar;6(1):63-75.
Granulomatous pleuritis is relatively common, comprising about 10 per cent of all pleural effusions. A search for the etiologic agent is important since mycobacteria, fungi, and the higher bacteria Actinomyces and Nocardia produce similar clinical, radiographic, and pleural fluid findings. The appropriate use of diagnostic tests including pleural biopsy and serologic techniques is discussed, as are current approaches to the management of these infections.
肉芽肿性胸膜炎相对常见,约占所有胸腔积液的10%。寻找病原体很重要,因为分枝杆菌、真菌以及放线菌和诺卡菌等高等细菌会产生相似的临床、影像学及胸腔积液表现。文中讨论了包括胸膜活检和血清学技术在内的诊断测试的合理应用,以及这些感染的当前管理方法。