Case Series of Challenging Diagnosis for Recurrent Pleural and Pericardial Effusion

Abstract

Three cases presented to our hospital with recurrent pleural and pericardial effusion. Detailed history of present and past illnesses were recorded. Thorough clinical examination done. All routine blood investigations were carried out. Pleural fluid, pericardial fluid peritoneal fluid were sent for analysis which revealed high ADA, exudative lymphocytic predominance, negative for malignancy and the patients were started on antitubercular therapy, but still patient didn’t show any response. thoracoscopic biopsy showed chronic inflammation. PET CT whole body and bone marrow biopsy revealed lymphoma.