Poliserositis

Abstract

The present clinical case studied a 49-year-old patient with polyserositis, who was hospitalized due to a clinical picture of dyspnea of small efforts, intense dry cough, fever and asthenia of several day of evolution, in addition to a sensation of abdominal distention, when computed axial tomography and abdominal ultrasound images were obtained, these indicated the presence of pericardial effusion, pleural effusion and ascites. Empirical treatment (Amoxicillin plus clavulanic acid) was initiated. Thoracentesis, pericardiocentesis was subsequently performed, with fluid studies respectively was reached, after the patient was added to the corticosteroid treatment. It presented favorable evolution. The clinic with which this disease occurs is very varied, nonspecific and depends on some factors such as the underlying disease, the speed of establishment of effusions and the age of the patient. Confirmation of the pathology is based on imaging tests where the presence of pleural, pericardial effusion, as well as ascites can be identified, through abdominal ultrasound, echocardiogram and computed axial tomography being of choice. The treatment is based on the resolution of the underlying pathology taking into account the need for procedures such as thoracentesis, pericardiocentesis and paracentesis depending on the degree of effusion that occur, in addition to using antibiotics early to avoid complication. It is concluded that this entity is present as part of the clinic of some basic diseases with very nonspecific manifestation, depending on the membranes that are affected, which makes diagnosis difficult. Its definitive treatment is based on the resolution of the pathology that originates it.