[ Les épanchements pleuraux chez l’enfant pris en charge aux urgences pédiatriques ]
Volume 36, Issue 3, June 2022, Pages 949–955
Ilham Tadmori1 and Moustapha Hida2
1 Service de pédiatrie et des urgences pédiatriques, Hôpital Mère - Enfant, CHU Hassan II, Fès, Morocco
2 Service de pédiatrie et des urgences pédiatriques, Hôpital Mère - Enfant, CHU Hassan II, Fès, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The objective of this work is to describe the epidemiological, clinical, biological, etiological profile and the management of pleural effusions in the pediatric setting. In this retrospective study over a period of two years, we collected 30 cases of pleural effusion in the pediatric emergencies of CHU Hassan II Fez, with an incidence of 0.51% and a male predominance of 56% of cases with a sex ratio of 1.3. The average age was 7.3 years. The incidence of cases was dominated by the autumn period with a peak in October. The average consultation time was 16 days, and 40% of patients received prior antibiotic therapy. Fever was observed in 92% of cases, cough in 68%, dyspnoea in 23.3%, chest pain in 46.6%. A fluid effusion syndrome was found in 83.3% of cases. On chest X-ray, pleurisy was very large in 50% and unilateral in 84%. Pleural puncture for diagnostic and therapeutic purposes was performed in 83.3%. The etiologies were dominated by pleurisy of infectious origin (60%), followed by tuberculosis (27%) and tumour causes (6.6%). Complications were pachypleuritis in 10% and reactionary pneumothorax in 6.6%.
Author Keywords: Pleural effusion, Child, Etiologies.
Volume 36, Issue 3, June 2022, Pages 949–955
Ilham Tadmori1 and Moustapha Hida2
1 Service de pédiatrie et des urgences pédiatriques, Hôpital Mère - Enfant, CHU Hassan II, Fès, Morocco
2 Service de pédiatrie et des urgences pédiatriques, Hôpital Mère - Enfant, CHU Hassan II, Fès, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The objective of this work is to describe the epidemiological, clinical, biological, etiological profile and the management of pleural effusions in the pediatric setting. In this retrospective study over a period of two years, we collected 30 cases of pleural effusion in the pediatric emergencies of CHU Hassan II Fez, with an incidence of 0.51% and a male predominance of 56% of cases with a sex ratio of 1.3. The average age was 7.3 years. The incidence of cases was dominated by the autumn period with a peak in October. The average consultation time was 16 days, and 40% of patients received prior antibiotic therapy. Fever was observed in 92% of cases, cough in 68%, dyspnoea in 23.3%, chest pain in 46.6%. A fluid effusion syndrome was found in 83.3% of cases. On chest X-ray, pleurisy was very large in 50% and unilateral in 84%. Pleural puncture for diagnostic and therapeutic purposes was performed in 83.3%. The etiologies were dominated by pleurisy of infectious origin (60%), followed by tuberculosis (27%) and tumour causes (6.6%). Complications were pachypleuritis in 10% and reactionary pneumothorax in 6.6%.
Author Keywords: Pleural effusion, Child, Etiologies.
Abstract: (french)
L’Objectif de ce travail est de décrire le profil épidémiologique, clinique, biologique, étiologiques, et la prise en charge des épanchements pleuraux en milieu pédiatrique. Dans cette étude rétrospective sur une période de deux ans, nous avons colligé 30 cas d’épanchement pleural aux urgences pédiatriques de CHU Hassan II Fès, avec une incidence de 0.51% et une prédominance masculine à 56% des cas avec un sex-ratio à 1.3. La moyenne d’âge était de 7,3 ans. L’incidence des cas était dominée en période automnale avec un pic d’incidence au mois d’octobre. Le délai de consultation moyen était de 16 jours, 40% des patients ont reçu une antibiothérapie préalable. Une fièvre a été objectivée chez 92% des cas, une toux chez 68%, une dyspnée chez 23.3 %, une douleur thoracique dans 46.6%. Un syndrome d’épanchement liquidien a été retrouvé chez 83.3% des cas. A la radiographie du thorax la pleurésie était de grande abondance dans 50% et de localisation unilatérale dans 84%. La ponction pleurale à visée diagnostique et thérapeutique a été réalisée chez 83.3%. Les étiologies étaient dominées par les pleurésies d’origine infectieuse (60%) suivis de la tuberculeuse (27%) et des causes tumorales (6.6%). Les complications étaient une pachypleurite chez 10% et un pneumothorax réactionnel chez 6.6 %.
Author Keywords: Epanchement pleural, Enfant, Etiologies.
How to Cite this Article
Ilham Tadmori and Moustapha Hida, “Pleural effusions in children treated in pediatric emergencies,” International Journal of Innovation and Applied Studies, vol. 36, no. 3, pp. 949–955, June 2022.
