Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department

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Objetive: The purpose of this work was to describe the physical, cytological and biochemical characteristics, as well as to classify the pleural fluids of patients with COVID-19 as exudates or transudates. Material and Methods: An observational, descriptive cross-sectional study was carried out. Dat...

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Detalles Bibliográficos
Autores: Quispe-Aranda, David, Arce-Silva, Sara, Neyra-Vera, Ibeth, Maguiña, Jorge L.
Formato: artículo
Fecha de Publicación:2021
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Lenguaje:español
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1235
Enlace del recurso:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1235
Nivel de acceso:acceso abierto
Materia:COVID-19
líquido pleural
Hallazgos Morfológicos y Microscópicos
Histocitoquímica
Sistema Médico de Emergencia
pleural fluid
Morphological and Microscopic Findings
Histocytochemistry
Emergency Medical System
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oai_identifier_str oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1235
network_acronym_str REVCMH
network_name_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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dc.title.none.fl_str_mv Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
Hallazgos citoquímicos en líquido pleural de pacientes con COVID-19, atendidos en un servicio de emergencia
title Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
spellingShingle Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
Quispe-Aranda, David
COVID-19
líquido pleural
Hallazgos Morfológicos y Microscópicos
Histocitoquímica
Sistema Médico de Emergencia
COVID-19
pleural fluid
Morphological and Microscopic Findings
Histocytochemistry
Emergency Medical System
title_short Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
title_full Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
title_fullStr Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
title_full_unstemmed Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
title_sort Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency department
dc.creator.none.fl_str_mv Quispe-Aranda, David
Arce-Silva, Sara
Neyra-Vera, Ibeth
Maguiña, Jorge L.
author Quispe-Aranda, David
author_facet Quispe-Aranda, David
Arce-Silva, Sara
Neyra-Vera, Ibeth
Maguiña, Jorge L.
author_role author
author2 Arce-Silva, Sara
Neyra-Vera, Ibeth
Maguiña, Jorge L.
author2_role author
author
author
dc.subject.none.fl_str_mv COVID-19
líquido pleural
Hallazgos Morfológicos y Microscópicos
Histocitoquímica
Sistema Médico de Emergencia
COVID-19
pleural fluid
Morphological and Microscopic Findings
Histocytochemistry
Emergency Medical System
topic COVID-19
líquido pleural
Hallazgos Morfológicos y Microscópicos
Histocitoquímica
Sistema Médico de Emergencia
COVID-19
pleural fluid
Morphological and Microscopic Findings
Histocytochemistry
Emergency Medical System
description Objetive: The purpose of this work was to describe the physical, cytological and biochemical characteristics, as well as to classify the pleural fluids of patients with COVID-19 as exudates or transudates. Material and Methods: An observational, descriptive cross-sectional study was carried out. Data was collected from the cytochemical examination of pleural fluid samples processed between the months of April to September 2020, in the laboratory of the Emergency Center of Metropolitan Lima (CELIM). Results: During the study period, a total of 81 samples of pleural fluid from patients with COVID-19 were evaluated, of these, 26 met our eligibility criteria. Fourteen liquids (54%) had a red color and 18 (69%) had a cloudy appearance. Exudative pleural fluids were the majority (n = 17), total proteins presented a mean of 3.3 g / dl (SD: 1.5), LDH a median of 544 U / L (IQR: 262-2016), the leukocyte count had a median of 610 leukocytes / ul (IQR: 180-968) and the differential polymorphonuclear count a median 29% (IQR: 15-60). Regarding the clinical characteristics, of the total exudates, 41% corresponded to neoplasms and 23% to pneumonia. While, of the total transudates (n = 9), 45% came from patients with neoplasms. Conclusions: In our study we observed that most of the pleural fluid samples from patients with COVID-19 were classified as exudates. These presented a low differential leukocyte percentage of polymorphonuclear cells. The values ​​of the biochemical parameters such as total proteins and LDH were adequately related to the classification of exudates
publishDate 2021
dc.date.none.fl_str_mv 2021-12-09
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1235
10.35434/rcmhnaaa.2021.143.1235
url https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1235
identifier_str_mv 10.35434/rcmhnaaa.2021.143.1235
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1235/478
dc.rights.none.fl_str_mv Derechos de autor 2021 David Quispe-Aranda, Sara Arce-Silva, Ibeth Neyra-Vera, Jorge L. Maguiña
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2021 David Quispe-Aranda, Sara Arce-Silva, Ibeth Neyra-Vera, Jorge L. Maguiña
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
dc.source.none.fl_str_mv Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 No. 3 (2021): July - September; 267 -271
Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 Núm. 3 (2021): Julio - Setiembre; 267 -271
2227-4731
2225-5109
10.35434/rcmhnaaa.2021.143
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instacron_str HNAAA
institution HNAAA
reponame_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
collection Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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spelling Cytochemical findings in pleural fluid from patients with COVID-19, cared for in an emergency departmentHallazgos citoquímicos en líquido pleural de pacientes con COVID-19, atendidos en un servicio de emergenciaQuispe-Aranda, DavidArce-Silva, SaraNeyra-Vera, IbethMaguiña, Jorge L.COVID-19líquido pleuralHallazgos Morfológicos y MicroscópicosHistocitoquímicaSistema Médico de EmergenciaCOVID-19pleural fluidMorphological and Microscopic FindingsHistocytochemistryEmergency Medical SystemObjetive: The purpose of this work was to describe the physical, cytological and biochemical characteristics, as well as to classify the pleural fluids of patients with COVID-19 as exudates or transudates. Material and Methods: An observational, descriptive cross-sectional study was carried out. Data was collected from the cytochemical examination of pleural fluid samples processed between the months of April to September 2020, in the laboratory of the Emergency Center of Metropolitan Lima (CELIM). Results: During the study period, a total of 81 samples of pleural fluid from patients with COVID-19 were evaluated, of these, 26 met our eligibility criteria. Fourteen liquids (54%) had a red color and 18 (69%) had a cloudy appearance. Exudative pleural fluids were the majority (n = 17), total proteins presented a mean of 3.3 g / dl (SD: 1.5), LDH a median of 544 U / L (IQR: 262-2016), the leukocyte count had a median of 610 leukocytes / ul (IQR: 180-968) and the differential polymorphonuclear count a median 29% (IQR: 15-60). Regarding the clinical characteristics, of the total exudates, 41% corresponded to neoplasms and 23% to pneumonia. While, of the total transudates (n = 9), 45% came from patients with neoplasms. Conclusions: In our study we observed that most of the pleural fluid samples from patients with COVID-19 were classified as exudates. These presented a low differential leukocyte percentage of polymorphonuclear cells. The values ​​of the biochemical parameters such as total proteins and LDH were adequately related to the classification of exudatesObjetivo: El presente trabajo tuvo como propósito describir las características físicas, citológicas y bioquímicas, así como clasificar los líquidos pleurales de pacientes con COVID-19 como exudados o trasudados. Material y Métodos: Se realizó un estudio observacional, transversal descriptivo. Se recopiló datos del examen citoquímico de muestras de líquido pleural procesadas entre los meses de abril a setiembre del 2020, en el laboratorio del Centro de Emergencias de Lima Metropolitana (CELIM). Resultados: Durante el periodo de estudio un total de 81 muestras de líquido pleural de pacientes con COVID-19 fueron evaluadas, de estos, 26 cumplieron con nuestros criterios de elegibilidad. Catorce líquidos (54%), tuvieron un color rojo y 18 (69%) tuvieron un aspecto turbio. Los líquidos pleurales exudativos fueron la mayoría (n = 17), las proteínas totales presentaron una media de 3.3 gr/dl (DE: 1.5), LDH una mediana de 544 U/L (RIC: 262-2016), el recuento leucocitario tuvo una mediana de 610 leucocitos/ul (RIC: 180-968) y el recuento diferencial de polimorfonucleares una mediana 29% (RIC: 15-60). En cuanto a las características clínicas, del total de exudados el 41% correspondían a neoplasias y el 23% a neumonías. Mientras que, del total de trasudados (n=9), 45% provenían de pacientes con neoplasias. Conclusiones: En nuestro estudio observamos que la mayoría de las muestras de líquido pleural de pacientes con COVID-19 fueron clasificadas como exudados. Estas presentaron un bajo porcentaje diferencial leucocitario de polimorfonucleares. Los valores de los parámetros bioquímicos tales como proteínas totales y LDH se relacionaron adecuadamente con la clasificación de exudados.Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo2021-12-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/123510.35434/rcmhnaaa.2021.143.1235Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 No. 3 (2021): July - September; 267 -271Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 Núm. 3 (2021): Julio - Setiembre; 267 -2712227-47312225-510910.35434/rcmhnaaa.2021.143reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstname:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstacron:HNAAAspahttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1235/478Derechos de autor 2021 David Quispe-Aranda, Sara Arce-Silva, Ibeth Neyra-Vera, Jorge L. Maguiñahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/12352022-02-02T18:46:57Z
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