급성 A형 간염에 동반된 양측 흉수 1례

Abstract

Acute hepatitis A has many complications, but bilateral pleural effusion is a very rare complication. Twenty seven year-old woman was admitted with complaints of general weakness and dyspnea. On admission, both decubitus view of chest radiograph showed pleural fluid accumulation and laboratory findings were as follows: AST/ALT 6,285/5,092 IU/L, total/direct bilirubin 5.29/3.25 mg/dL, anti-HAV IgM (+). We performed diagnostic thoracentesis, but she complained of more aggravated dyspnea on the seventh day of hospitalization. Chest radiograph also showed more aggravated pleural fluid accumulation. We did therapeutic thoracentesis and prescribed diuretics for seven days. On the fifteenth day of hospitalization, her general condition was much improved and chest radiograph revealed no pleural effusion. Laboratory findings were also improved: AST/ALT 94/22 IU/L, total bilirubin 14.92 mg/dL. This is a rare case of bilateral pleural effusion associated with acute hepatitis A treated by thoracentesis and diuretics.