Simmons W W, Warren R E
Department of Medicine, University of Toronto, Ontario, Canada.
J Clin Gastroenterol. 1994 Sep;19(2):143-5. doi: 10.1097/00004836-199409000-00015.
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.
胸腔积液是急性病毒性肝炎的一种罕见并发症；仅1例与甲型病毒性肝炎相关的病例曾有报道。我们在此报告第2例，是一名24岁的女性护士，在暴发性甲型病毒性肝炎发病9周后出现大量有症状的右侧胸腔积液。未出现腹水和水肿。该积液为渗出液，以嗜酸性细胞为主，在病毒性肝炎恢复2周后出现，并自行消退。经检查排除了其他病因。这是关于恢复期病毒性肝炎并发胸腔积液的首例报告；此外，这也是首例与胸腔积液嗜酸性粒细胞增多相关的病例。
