Repeated Medical PG Question- 98

#MEDICINE(NEET-PG)

All of the following show low glucose in pleural fluid, EXCEPT-

A. Empyema

B. Malignant pleural effusion

C. Rheumatoid arthritis

D. Dressler's syndrome

Answer is D (Dressler's Syndrome)

▪️Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion.

▪️The disease consists of persistent low-grade fever, chest pain (usually pleuritic), pericarditis and/or pericardial effusion. 

▪️The symptoms tend to occur 2–3 weeks after myocardial infarction but can also be delayed a few months. It tends to subside in a few days, and very rarely leads to pericardial tamponade. 

▪️Elevated ESR is an objective but nonspecific laboratory finding.

▪️Dressler's Syndrome is not associated with low glucose in pleural fluid.

▪️Rheumatoid Arthritis, Malignancy and Empyema (Bacterial infections) are all established causes of pleural effusion with low glucose.

Pleural effusion with low glucose (< 60 mg/c11)

▪️Malignancy

▪️Bacterial infections

▪️Rheumatoid pleuritis