A "sweet" hydrothorax in a child on peritoneal dialysis

D Gidaris1, N Printza1, S Batzios1

  • 11 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE.

Hippokratia
|January 7, 2014
PubMed

Insights

A rare complication of peritoneal dialysis (PD) in children, hydrothorax, is highlighted through a case study. This review aims to increase pediatrician awareness of this condition in pediatric end-stage renal disease patients undergoing PD.

Area of Science:

  • Pediatric Nephrology
  • Pulmonology
  • Renal Replacement Therapy

Background:

  • Peritoneal dialysis (PD) is a vital long-term treatment for pediatric end-stage renal disease (ESRD).
  • Hydrothorax, a pleural effusion, is an uncommon but serious complication of PD in children.
  • Automated PD (APD) is frequently used in pediatric ESRD management.

Observation:

  • An 8-year-old boy undergoing APD developed a right-sided pleural effusion.
  • The case highlights the diverse clinical presentations of PD-associated hydrothorax.
  • Diagnostic challenges and tools for identifying hydrothorax in pediatric PD patients were reviewed.

Findings:

  • The study reviews potential etiologies for hydrothorax in pediatric PD patients.
  • Treatment strategies for PD-induced hydrothorax are discussed.
  • Early recognition and management are crucial for favorable outcomes.

Implications:

  • Increased awareness among pediatricians is essential for prompt diagnosis and management of PD-related hydrothorax.
  • Understanding the diverse presentations and etiologies can improve patient care.
  • This review provides insights into diagnostic and therapeutic options for this rare complication.

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