• Resp Care · Dec 2011

    Case Reports

    Intrapleural streptokinase for the treatment of chylothorax.

    • Yeh Chunn Kuan, Soon Hin How, Teck Han Ng, and Mohammed Fauzi Abdul Rani.
    • Department of Internal Medicine, International Islamic University of Malaysia, Kuantan, Malaysia. kychunn@yahoo.com
    • Resp Care. 2011 Dec 1;56(12):1953-5.

    AbstractChylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleural streptokinase, which improved her condition.

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