Zapalenie opłucnej
Objawy
Zapalenie opłucnej to stan zapalny błony surowiczej wyścielającej płuca i klatkę piersiową, charakteryzujący się ostrym, kłującym bólem opłucnowym nasilającym się podczas wdechu, wydechu, kaszlu czy kichania. Objawy towarzyszące obejmują suchy kaszel, duszność, gorączkę, tachypnoe oraz ogólne złe samopoczucie. Etiologia jest zróżnicowana – od infekcji wirusowych i bakteryjnych, przez choroby autoimmunologiczne, nowotwory, aż po urazy. Przebieg choroby może być ostry (2-4 tygodnie) lub przewlekły, a leczenie zależy od przyczyny; infekcje wirusowe często ustępują samoistnie, natomiast bakteryjne wymagają antybiotykoterapii. Kluczowym powikłaniem jest wysięk opłucnowy, który może prowadzić do niedodmy, ropniaka opłucnej i znacznych zaburzeń oddychania, wymagając czasem drenażu jamy opłucnowej.
Zapalenie opłucnej – definicja i mechanizm powstawania
Zapalenie opłucnej (pleurisy) to stan zapalny opłucnej – cienkiej błony wyścielającej płuca i ścianę klatki piersiowej. W warunkach prawidłowych dwie warstwy opłucnej (ścienna i płucna) przesuwają się względem siebie bezboleśnie podczas oddychania. Jednak gdy wystąpi stan zapalny, powierzchnie te stają się obrzęknięte i podrażnione, ocierając się o siebie jak papier ścierny, co wywołuje charakterystyczny ból podczas oddychania12. Zapalenie opłucnej może być wynikiem różnych przyczyn, najczęściej infekcji dróg oddechowych, ale również innych stanów chorobowych, takich jak choroby autoimmunologiczne czy nowotwory3.
Główne objawy zapalenia opłucnej
Najbardziej charakterystycznym objawem zapalenia opłucnej jest ostry, kłujący ból w klatce piersiowej, który nasila się podczas oddychania. Ten ból określany jako „opłucnowy” (pleuritic pain) ma pewne specyficzne cechy14:
- Jest ostry, przeszywający lub palący
- Zdecydowanie nasila się podczas wdechu lub wydechu
- Pogarsza się podczas kaszlu, kichania lub śmiechu
- Pojawia się nagle i jest zlokalizowany w określonym miejscu klatki piersiowej
- Może promieniować do barku lub pleców
- Zmniejsza się lub ustaje podczas wstrzymywania oddechu
- Może się nasilać podczas ruchu górnej części ciała
Pacjenci z zapaleniem opłucnej często intuicyjnie ograniczają głębokość oddychania, aby zmniejszyć ból, co prowadzi do płytkich i przyspieszonych oddechów7. Charakterystyczne jest również to, że po stronie, gdzie występuje ból, mięśnie klatki piersiowej poruszają się mniej niż po stronie przeciwnej7.
Objawy towarzyszące
Oprócz bólu w klatce piersiowej, zapalenie opłucnej może powodować szereg innych objawów, które zależą od pierwotnej przyczyny choroby28:
- Suchy, uporczywy kaszel
- Duszność lub trudności w oddychaniu
- Gorączka i dreszcze (szczególnie w przypadku infekcji)
- Przyspieszony oddech (tachypnoe)
- Ogólne złe samopoczucie
- Zmęczenie
- Utrata apetytu
W zależności od przyczyny podstawowej, zapalenie opłucnej może rozwijać się szybko i gwałtownie (np. w przypadku odmy opłucnowej, problemów z sercem lub urazu klatki piersiowej) lub przewlekle, trwając dni lub tygodnie (np. w przypadku gruźlicy lub raka)10.
Progresja choroby
Przebieg zapalenia opłucnej zależy głównie od przyczyny wywołującej oraz od czasu rozpoczęcia leczenia. Zwykle trwa od kilku dni do 2 tygodni1112. Przypadki ostre zazwyczaj ustępują w ciągu 2-4 tygodni, natomiast te związane ze złośliwymi nowotworami lub przewlekłymi chorobami zapalnymi mogą utrzymywać się dłużej13.
Zapalenie opłucnej spowodowane przez wirusy (najczęstsza przyczyna) zwykle ustępuje samoistnie po kilku dniach bez specjalnego leczenia1415. Jeśli jednak przyczyną są bakterie, konieczne może być leczenie antybiotykami, a pacjent może wymagać hospitalizacji16.
Rozwój wysięku opłucnowego
Jednym z najbardziej charakterystycznych aspektów progresji zapalenia opłucnej jest możliwość rozwoju wysięku opłucnowego (pleural effusion), czyli nagromadzenia płynu w przestrzeni opłucnowej1. Występuje paradoksalna sytuacja, gdy wraz z pojawieniem się wysięku ból opłucnowy może się zmniejszyć lub ustąpić, ponieważ warstwa płynu zapobiega ocieraniu się o siebie dwóch warstw opłucnej1217.
Jednak gdy ilość płynu staje się znaczna, może to prowadzić do następujących komplikacji:
- Niedodma (atelectasis) – ucisk na płuco powodujący jego częściowe lub całkowite zapadnięcie się, co utrudnia oddychanie i może wywoływać kaszel1819
- Ropniak opłucnej (empyema) – gdy płyn w przestrzeni opłucnowej ulega zakażeniu, prowadząc do nagromadzenia ropy. Temu stanowi często towarzyszy gorączka186
- Trudności z oddychaniem – duża ilość płynu utrudnia rozprężanie się płuc podczas wdechu, co objawia się dusznością, przyspieszonym oddechem i może prowadzić do sinicy ust i opuszków palców19
W niektórych przypadkach wysięk opłucnowy może wymagać drenażu przez rurkę wprowadzoną do klatki piersiowej20.
Czynniki wpływające na progresję choroby
Na przebieg zapalenia opłucnej wpływają różne czynniki2122:
- Przyczyna podstawowa (etiologia) choroby
- Czas diagnozy i rozpoczęcia leczenia
- Ogólny stan zdrowia pacjenta
- Wiek pacjenta
- Obecność chorób współistniejących
Zapalenie opłucnej wywołane przez zakażenia dróg oddechowych, w tym zapalenie oskrzeli lub oskrzelików, może ustąpić samoistnie, bez leczenia. Leki przeciwbólowe i odpoczynek mogą pomóc złagodzić objawy, podczas gdy wyściółka płuc się goi. Proces ten może trwać do dwóch tygodni w większości przypadków21.
Jeśli jednak rozwinie się wysięk opłucnowy, czas powrotu do zdrowia może wydłużyć się do miesiąca lub nawet dłużej21. Z kolei jeśli zapalenie opłucnej jest spowodowane zatorowością płucną, może się utrzymywać do czasu rozwiązania problemu z zakrzepem22.
Powikłania zapalenia opłucnej
Nieleczone lub nieprawidłowo leczone zapalenie opłucnej może prowadzić do poważnych powikłań1523:
- Niedodma (atelectasis) – płuca mogą być zablokowane lub nie mogą się prawidłowo rozprężać
- Ropniak opłucnej (empyema) – nagromadzenie ropy w jamie opłucnowej
- Wstrząs – nagły spadek przepływu krwi
- Posocznica (sepsis) – niebezpieczna reakcja organizmu na infekcję
- Blizny i zrosty opłucnowe – mogą powodować przewlekły ból lub duszność
Kiedy szukać pomocy medycznej
Zapalenie opłucnej może być poważnym stanem, który wymaga natychmiastowej pomocy lekarskiej. Należy niezwłocznie skontaktować się z lekarzem lub wezwać pomoc w przypadku1825:
- Nagłego, silnego bólu w klatce piersiowej, zwłaszcza podczas oddychania
- Trudności z oddychaniem lub duszności
- Bólu w klatce piersiowej, który nie ustępuje po kilku dniach
- Wykrztuszania krwi
- Wysokiej gorączki
- Sinicznego zabarwienia ust lub paznokci
- Utraty przytomności
Objawy te mogą wskazywać na poważniejsze problemy, takie jak zawał serca lub zator płucny (pulmonary embolism)5.
Rokowanie
Rokowanie w zapaleniu opłucnej zależy głównie od przyczyny podstawowej i szybkości rozpoczęcia leczenia13. W większości przypadków, jeśli przyczyna jest właściwie leczona, można oczekiwać pełnego powrotu do zdrowia22.
Jeśli zapalenie opłucnej jest spowodowane infekcją, zwykle ustępuje wraz z poprawą stanu zdrowia3. Jeśli jednak jest spowodowane przez trwającą chorobę, taką jak nowotwór lub chorobę autoimmunologiczną, może istnieć ryzyko nawrotu zapalenia opłucnej3.
Bardzo rzadko zapalenie opłucnej może prowadzić do zagrażających życiu powikłań3, ale przy odpowiednim leczeniu większość pacjentów wraca do pełnego zdrowia bez trwałych uszkodzeń płuc29.
Czynniki wpływające na rokowanie
Na rokowanie w zapaleniu opłucnej wpływają następujące czynniki30:
- Przyczyna podstawowa zapalenia opłucnej
- Wczesne rozpoznanie i leczenie
- Wiek i ogólny stan zdrowia pacjenta
- Obecność powikłań, takich jak wysięk opłucnowy lub ropniak
- Skuteczność leczenia przyczyny podstawowej
Przy odpowiednim leczeniu większość osób z zapaleniem opłucnej wraca do pełnego zdrowia w ciągu kilku tygodni30. Bez leczenia zapalenie opłucnej może nawracać lub utrzymywać się na czas nieokreślony30. Dlatego niezwykle istotne jest szybkie zgłoszenie się do lekarza w przypadku wystąpienia objawów, aby można było rozpocząć diagnozę i leczenie30.
Kolejne rozdziały
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Materiały źródłowe
- #1 Pleurisy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/pleurisy/symptoms-causes/syc-20351863
Pleurisy occurs when the pleural lining two large, thin layers of tissue that separate your lungs from your chest wall becomes inflamed, causing chest pain. […] Pleurisy causes sharp chest pain (pleuritic pain) that worsens during breathing. […] If you have pleurisy, these tissues swell and become inflamed. As a result, the two layers of the pleural lining rub against each other like two pieces of sandpaper. This causes pain when you breathe in and out. The pleuritic pain lessens or stops when you hold your breath. […] Signs and symptoms of pleurisy might include: Chest pain that worsens when you breathe, cough or sneeze. […] Pain caused by pleurisy might worsen with movement of your upper body and can spread to your shoulders or back. […] Pleurisy can occur along with pleural effusion, atelectasis or empyema: In some cases of pleurisy, fluid builds up in the small space between the two layers of tissue. This is called pleural effusion.
- #2 Pleurisy | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/pleurisy
Pleurisy is a condition whereby inflammation of the pleura causes the membranes to rub and grate against each other. […] Pleurisy is a condition whereby inflammation of the pleura leads to a loss of the smooth sliding movement between the pleura. This is commonly caused by an infection of the respiratory tract. […] Inflammation of the pleura causes pain, which is made worse by deep breathing and coughing. Sometimes, the inflammation can cause a build-up of the fluid between the two membranes. This is known as a pleural effusion. […] The symptoms of pleurisy may include: pain in the chest, which may be: sharp or stabbing in nature, aggravated by taking a deep breath in, coughing or moving around, felt in the muscles of the chest, persistent cough, breathing difficulties, generally feeling unwell, fever.
- #3 Pleurisy: Causes, Symptoms, Diagnosis, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/21172-pleurisy
Pleurisy causes chest pain that’s sharp and stabbing. The main symptom of pleurisy is chest pain (pleuritic pain) that feels sharp, stabbing or knife-like, coming from one specific place. It’s worse when you breathe deeply or cough and sometimes spreads to your shoulder or back. You’ll probably find yourself breathing carefully to avoid the pain. […] If you’re otherwise healthy, you’re most likely to get pleurisy from a virus (like the flu), bacteria or other infection in your lungs. Infections can cause inflammation in your pleurae, which gives you chest pain. […] Your outlook for pleurisy depends on what’s causing it. If your pleurisy is caused by infection, it should go away as you get better. If it’s caused by an ongoing illness like cancer or an autoimmune disease, you may always have some risk of pleurisy coming back. […] Very rarely, pleurisy has life-threatening complications.
- #4 Pleurisy – Wikipediahttps://en.wikipedia.org/wiki/Pleurisy
Pleurisy, also known as pleuritis, is inflammation of the membranes that surround the lungs and line the chest cavity (pleurae). This can result in a sharp chest pain while breathing. Occasionally the pain may be a constant dull ache. Other symptoms may include shortness of breath, cough, fever, or weight loss, depending on the underlying cause. […] The defining symptom of pleurisy is a sudden sharp, stabbing, burning or dull pain in the right or left side of the chest during breathing, especially when one inhales and exhales. It feels worse with deep breathing, coughing, sneezing, or laughing. The pain may stay in one place, or it may spread to the shoulder or back. Sometimes, it becomes a fairly constant dull ache. […] Depending on its cause, pleuritic chest pain may be accompanied by other symptoms: Dry cough, Fever and chills, Rapid, shallow breathing, Shortness of breath, Fast heart rate, Sore throat followed by pain and swelling in the joints.
- #5 Pleurisyhttps://www.nhs.uk/conditions/pleurisy/
Pleurisy is inflammation around the lungs, which causes sharp chest pain. The main symptom of pleurisy is sharp chest pain when you breathe in. The pain may be worse when you cough, sneeze or move around. It may also spread to your shoulders and back. You have sharp chest pain that comes and goes, or only happens when breathing or coughing. You have sharp chest pain that has not got better after a few days. You’re feeling short of breath regularly. These symptoms could be a sign of a more serious problem, such as a heart attack or a blood clot in the lungs (pulmonary embolism). If you have symptoms of pleurisy, a GP will examine you and listen to your chest. Pleurisy will usually get better on its own in a few days without treatment from a GP. If your symptoms are being caused by a bacterial infection, such as pneumonia, you may need antibiotics. You may need to have treatment in hospital if your symptoms are severe or being caused by something more serious, such as a pulmonary embolism or tuberculosis.
- #6 Pleurisy: What Is It, Symptoms, Causes, and Morehttps://www.healthline.com/health/pleurisy
The chief symptom associated with pleurisy is a sharp, stabbing pain when you breathe. This pain might go away when you hold your breath or put pressure on the painful area. […] However, the pain will often get worse when you sneeze, cough, or move. Fever, chills, and loss of appetite are also possible symptoms, depending on the condition that’s causing the pleurisy. […] When pleurisy is accompanied by pleural effusion, the fluid buildup will put pressure on the lungs and cause them to stop working properly. You may eventually experience shortness of breath as the fluid increases. You may also experience fever, chills, or dry cough. These symptoms can indicate an infection in the fluid called an empyema. […] Pleurisy is an inflammation in the pleura of the lungs sometimes accompanied by pleuritic pain. In some cases, it can progress to pleural effusion, which is when fluid builds up inside the lungs. […] Since a variety of causes can lead to pleurisy, the outlook depends on the underlying cause. The best course of action is to see your doctor so that they can identify the cause quickly and rule out anything that may be life-threatening. Your treatment will depend on the cause of your symptoms.
- #7 Pleurisy | Cedars-Sinaihttps://www.cedars-sinai.org/health-library/diseases-and-conditions/p/pleurisy.html
Usually the first sign of pleurisy is a sudden chest pain. The pain may be very mild or very severe. Sometimes the pain is only felt while breathing deeply or coughing. Other times, the pain may be felt all the time and get worse with deep breathing or coughing. Usually the pain is felt in the chest wall over the area that’s inflamed. You might also feel pain in the upper abdominal area, neck, back, and shoulders. […] Because inhaling deeply hurts, a person with pleurisy tends to breathe quickly and shallowly. On the side where the pain is, the muscles of the chest move less than those on the other side. If fluid builds up between the layers of the pleura, the chest pain may go away. Large quantities of fluid can make expanding one or both lungs difficult. […] Other symptoms may include: Fever, Cough, Shortness of breath, Rapid breathing.
- #8 Pleurisy | healthdirecthttps://www.healthdirect.gov.au/pleurisy
Pleurisy causes chest pain, usually on one side. The pain is often sharp and stabbing. It tends to get worse with deep breathing and coughing. You may also feel pain in your back or shoulders. […] Other symptoms may include: shortness of breath or rapid breathing, cough, fever, tiredness.
- #9 Pleurisy: Causes, Symptoms, Diagnosis and Treatmenthttps://www.webmd.com/lung/understanding-pleurisy-basics
Symptoms of pleurisy may include the following: […] Chest pain. Does it hurt when you breathe in and out? And does the pain get worse when you try to take a deep breath, so you have to take small, shallow breaths? This sharp, stabbing, or burning feeling may be what doctors call „pleuritic chest pain.” […] Pain in other body parts. When pleurisy happens in certain parts of the lungs, you can feel the pain in other parts of the body such as the neck, shoulder, back, or belly. […] A cough (in some cases) […] Fever and chills (in some cases) […] Pleurisy back pain […] Although pleurisy most often affects the chest, if you move your upper body, the pain can spread to your back. It may feel like a constant dull ache. […] How long does pleurisy last? That depends on the cause. If your pleurisy is due to a bacterial infection and you get antibiotics, it should go away in a few days. If it’s caused by lung cancer or a condition like lupus, the chest pain may linger for several weeks.
- #10 Pleurisy: Symptoms, causes, treatments, diagnosis, and preventionhttps://www.medicalnewstoday.com/articles/158813
Pleurisy is an inflammation of the lungs outer lining. It can cause a sharp, stabbing pain in the chest or shoulder when taking a deep breath. […] The most characteristic symptom of pleurisy is sharp, stabbing pain in the chest or shoulder. Some people report dull aching or burning pain. […] The pain gets worse when the person is breathing deeply, coughing, sneezing, or moving their chest or trunk. […] Monitoring the duration, progression, and reoccurrence of pleurisy can help the doctor find the cause. […] Pleurisy can develop rapidly due to a health emergency, such as a collapsed lung, which is called pneumothorax, heart problems, or trauma to the chest. […] People can also have chronic pleurisy, which lasts for days to weeks. This might result from an infection, such as tuberculosis (TB), or another health issue, such as rheumatoid arthritis or cancer.
- #11https://www.cham.org/HealthwiseArticle.aspx?id=tj8148
Pleurisy is swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall. When the pleura becomes inflamed, the layers rub together, causing chest pain. This is known as pleuritic pain. Pleurisy usually lasts a few days to 2 weeks. The symptoms of pleurisy are chest pain and difficulty breathing. The chest pain usually starts suddenly. People often describe it as a stabbing pain, and it usually gets worse with breathing. The pain may always be present, but it usually gets worse when you breathe in. You may avoid breathing deeply to prevent the pain. The inflammation of the pleura sometimes causes fluid to build up in the pleural cavity (pleural effusion). Other symptoms of pleural effusion include fever, chest pain, and a dry cough.
- #12 Pleurisy Information & Treatmenthttps://www.columbiadoctors.org/health-library/condition/pleurisy/
Pleurisy is swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall. […] When the pleura becomes inflamed, the layers rub together, causing chest pain. This is known as pleuritic pain. […] The symptoms of pleurisy are chest pain and difficulty breathing. The chest pain usually starts suddenly. People often describe it as a stabbing pain, and it usually gets worse with breathing. The pain: […] The inflammation of the pleura sometimes causes fluid to build up in the pleural cavity (pleural effusion). You may have less pain after this happens, because the fluid prevents the two layers of the pleura from rubbing together. If there is a large amount of fluid, it may prevent the lung from expanding when you breathe in. This can make it hard to breathe. Other symptoms of pleural effusion include fever, chest pain, and a dry cough. […] Pleurisy usually lasts a few days to 2 weeks.
- #13 Pleurisy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK558958/
Pleurisy, or pleuritis, is an inflammation of the parietal pleura that causes sharp, localized chest pain, typically worsening with breathing, coughing, or sneezing. […] Acute cases typically resolve within 2 to 4 weeks, although symptoms may persist in patients with malignancy or chronic inflammatory diseases. […] The duration of symptoms varies based on the underlying cause; acute cases typically resolve within 2 to 4 weeks, while those linked to malignancy or poorly controlled inflammatory conditions may persist longer. […] Pleurisy is characterized by sharp, localized pain in the chest, neck, or shoulder exacerbated by respiratory movements, coughing, or sneezing. […] The prognosis of pleurisy and pleuritic chest pain largely depends on the underlying etiology and the effectiveness of treatment.
- #14 Pleurisy: Causes, Symptoms, and Treatmenthttps://patient.info/signs-symptoms/chest-pain-leaflet/pleurisy
Pleurisy is due to inflammation of the pleura next to the lung. It is most often caused by infection with a germ (a viral infection). In these cases the pain can be severe but soon goes. Various other lung disorders can also cause a 'pleuritic pain’ similar to pleurisy. […] The main symptom of pleurisy, or other problems that affect the pleura, is 'pleuritic’ chest pain. This is usually a sharp stabbing pain. […] If the inflammation of your pleura is caused by a more serious cause you are likely to have other symptoms. These symptoms include: Pain that develops slowly over several days or weeks. Pain that does not ease and go after a few days. Breathlessness (shortness of breath) or other breathing difficulties. Coughing up blood. Any other symptom that you are unsure of, or cannot explain.
- #15 Pleurisy: Causes, Symptoms, and Treatmenthttps://patient.info/signs-symptoms/chest-pain-leaflet/pleurisy
This depends on the cause. Pleurisy caused by a virus usually settles within a few days. If it’s caused by something else, it can take longer. […] Other causes of pleurisy can be serious. For example, major lung infections (pneumonia) and blood clots on the lung (pulmonary emboli) can be life-threatening. […] Causes of pleurisy include: Viral infection (the most common cause) – pain typically lasts a few days and goes as the virus clears away and the inflammation settles. […] This depends on the cause of pleurisy. Viral pleurisy normally improves without any treatment. Other more serious causes of pleurisy, such as bacterial infections, can cause complications like: Fluid around the lung (a pleural effusion). Pus collecting around the lung with bacterial pneumonia (an empyema). A trapped lung that won’t inflate fully (atelectasis). Sepsis, with bacterial infections. Breathing difficulties.
- #16 Pleurisy: Symptoms, causes, treatments, diagnosis, and preventionhttps://www.medicalnewstoday.com/articles/158813
Pleurisy usually resolves without intervention in a few days. However, pleurisy caused by a bacterial infection may require antibiotics. More severe causes, such as pulmonary embolism, will require hospital treatment. […] A person’s outlook depends on the cause of the pleurisy. More severe causes can be fatal without treatment.
- #17https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=tj8148
Pleurisy is swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall. […] When the pleura becomes inflamed, the layers rub together, causing chest pain. This is known as pleuritic pain. […] The symptoms of pleurisy are chest pain and difficulty breathing. The chest pain usually starts suddenly. People often describe it as a stabbing pain, and it usually gets worse with breathing. The pain: […] May always be present, but it usually gets worse when you breathe in. You may avoid breathing deeply to prevent the pain. […] Is usually worse when you cough, sneeze, or suddenly move. […] The inflammation of the pleura sometimes causes fluid to build up in the pleural cavity (pleural effusion). You may have less pain after this happens, because the fluid prevents the two layers of the pleura from rubbing together. If there is a large amount of fluid, it may prevent the lung from expanding when you breathe in. This can make it hard to breathe. Other symptoms of pleural effusion include fever, chest pain, and a dry cough. […] Pleural effusion may occur without pleurisy in other conditions, such as heart failure or liver or kidney disease.
- #18 Pleurisy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/pleurisy/symptoms-causes/syc-20351863
A large amount of fluid in the pleural space can create pressure. This can compress your lung to the point that it partially or completely collapses (atelectasis). This makes breathing difficult and might cause coughing. […] The extra fluid in the pleural space can also become infected, resulting in a buildup of pus. This is called an empyema. Fever often occurs along with an empyema. […] Call your healthcare provider or seek emergency care right away if you experience unexplained, intense chest pain during breathing.
- #19 Pleurisy | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/pleurisy
Your risk of getting pleurisy is higher if you have recently had an infection of the respiratory tract. […] In a person with pleurisy, inflammation can trigger a build-up of fluid between the two membranes. This fluid build up is referred to as a pleural effusion. […] However, the build up of fluid around the lungs can cause compression of the lungs and can lead to breathing difficulties, such as shortness of breath or rapid breathing. The lack of oxygen may turn areas such as the mouth and fingertips blue (cyanosis).
- #20https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=tj8148&lang=en-ca
Pleurisy is swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall. […] When the pleura becomes inflamed, the layers rub together, causing chest pain. This is known as pleuritic pain. […] The symptoms of pleurisy are chest pain and difficulty breathing. The chest pain usually starts suddenly. People often describe it as a stabbing pain, and it usually gets worse with breathing. The pain: […] The inflammation of the pleura sometimes causes fluid to build up in the pleural cavity (pleural effusion). You may have less pain after this happens, because the fluid prevents the two layers of the pleura from rubbing together. If there is a large amount of fluid, it may prevent the lung from expanding when you breathe in. This can make it hard to breathe. Other symptoms of pleural effusion include fever, chest pain, and a dry cough. […] If you have pleural effusion, you may need to have the fluid drained through a tube that the doctor inserts in your chest.
- #21 How Long Does Pleurisy Last? What to Expecthttps://www.healthline.com/health/how-long-does-pleurisy-last
Pleurisy causes your lungs lining to get inflamed, making it painful to breathe. An underlying condition or infection typically causes this. […] Pleurisy may cause a stabbing chest or shoulder pain when you breathe. This pain may be worse when you cough, sneeze, or move. […] How long pleurisy lasts can depend on whats causing your condition and whether youre diagnosed early. […] Pleurisy thats caused by airway inflammation, including bronchitis, bronchiolitis, or pathogens like viruses, can resolve on its own, without treatment. Pain medication and rest can help relieve symptoms of pleurisy while the lining of your lungs heals. This can take up to two weeks in most cases. […] If you develop pleurisy and pleural effusion, it can take up to a month or even longer for symptoms to resolve.
- #22 How Long Does Pleurisy Last? What to Expecthttps://www.healthline.com/health/how-long-does-pleurisy-last
Pleurisy may continue until the embolism is addressed. […] Pleurisy thats caused by chest wounds or blunt trauma to your rib cage typically goes away once your injuries heal. […] Pleurisy should be identified and treated as soon as possible. […] If the condition that causes pleurisy is found and treated, many people with pleurisy can expect a full recovery. […] Pleurisy causes the lining of your lungs to become inflamed. This can cause pain when you breathe. […] Pleurisy typically occurs due to an underlying condition, whether a viral or bacterial infection or another health condition, such as blood clots or lupus.
- #23 How Long Does Pleurisy Last? Causes, Treatment & Symptomshttps://www.medicinenet.com/how_long_does_pleurisy_last/article.htm
If the underlying cause is diagnosed and treated early, a complete cure is possible. Symptoms may sometimes recur after the first round of treatment, hence routine medical checkups are recommended. The long term complications of severe pleurisy include: Lungs that may be blocked or cant expand the way they should (atelectasis), Pus in your pleural cavity (emphysema), A sudden drop in blood flow (shock), A dangerous reaction to infection (sepsis), Inflammation can also make fluid buildup in your pleural cavity. This is called pleural effusion.
- #24 Pleurisy Symptoms, Treatment, Causes & Recovery Timehttps://www.emedicinehealth.com/pleurisy/article_em.htm
The inflammation that occurs with pleurisy can cause pain with breathing and may even cause a large amount of fluid buildup to collect in the pleural sac. […] Pleurisy can go away on its own or worsen so that pleural fluid has to be drained from around the lungs. […] Some people develop scar tissue called adhesions after they have pleurisy. They then have chronic pain or shortness of breath. […] You can have many symptoms with pleurisy: […] Chest pain: This is the most common symptom of pleuritis. The pleuritic pain is generally a sharp, stabbing pain, but may also be a dull ache or a burning sensation. Pleuritic pain is usually worse when you take a deep breath, cough, or move around. The pain is usually better if you take shallow breaths or lie on the side that hurts. Chest pain is what usually causes people with pleurisy to seek medical attention.
- #25 Pleurisy: What It Is, Symptoms, Causes & Treatmenthttps://resources.healthgrades.com/right-care/lungs-breathing-and-respiration/pleurisy
Pleurisy may include any number of common symptoms, which may become severe at any time. Examples include: Bluish coloration of the lips or fingernails, Chest pain or pressure, Cough, Fever and chills, Painful breathing (inhaling or exhaling), Rapid breathing (tachypnea) or shortness of breath, Unexplained weight loss. […] In some cases, pleurisy can be life-threatening. Seek immediate medical care (call 911) if you or someone you are with has any of these life-threatening symptoms including: Bluish coloration of the lips or fingernails, Change in level of consciousness or alertness, such as passing out or unresponsiveness, Chest pain, chest tightness, chest pressure, palpitations, Rapid heart rate (tachycardia), Respiratory or breathing problems, such as shortness of breath, difficulty breathing, labored breathing, wheezing, not breathing, or choking. […] Left untreated, pleurisy can lead to serious complications including spread of infection and breathing difficulties due to fluid buildup (pleural effusion) between the pleura. The outlook also depends on the underlying condition that caused the pleurisy; death from pleurisy is very rare.
- #26 Pleurisy | Healthifyhttps://healthify.nz/health-a-z/p/pleurisy
Pleurisy is the inflammation of the pleura membranes that line your lungs and your chest wall. The main symptom is a sharp stabbing pain in your chest when you breathe in deeply, cough or sneeze. If you have pleurisy symptoms see your healthcare provider. If you have severe chest pain, and other symptoms, (eg, coughing up blood, nausea or sweating) see a healthcare provider immediately. The most common symptom of pleurisy is a sharp chest pain when you breathe in, cough, laugh or sneeze. You may also be tired, short of breath, have a dry cough, develop a fever and generally feel unwell. […] If there’s a more serious condition causing your pleurisy, you may have pain that develops slowly over days or weeks and doesnt go away, or you may cough up blood. If you have any symptoms of pleurisy see your healthcare provider, any sort of chest pain should be looked into. If you have severe pain, trouble breathing or youre coughing up blood, call 111 or go to your nearest emergency department.
- #27 Should You Go to the ER for Pleurisy? Understanding When Urgent Care is Necessary | iCarehttps://www.icare-er.com/should-you-go-to-the-er-for-pleurisy/
Severe Chest Pain: If the chest pain is excruciating, intense, and unrelenting, especially on one side of the chest, it could be a sign of a more severe condition that requires urgent evaluation. […] Shortness of Breath: Difficulty breathing, rapid breathing, or gasping for air suggests a potential respiratory emergency that requires immediate attention. […] High Fever: A persistently high fever (above 101°F or 38.3°C) that doesnât respond to over-the-counter fever-reducing medications may indicate a more serious underlying infection. […] Fainting or Loss of Consciousness: If you experience sudden fainting or loss of consciousness, it could be a sign of insufficient oxygen supply to the brain and warrants immediate medical evaluation. […] Chronic Health Conditions: Individuals with pre-existing chronic conditions like heart disease, lung disease, or weakened immune systems should seek immediate medical attention if they suspect pleurisy.
- #28 Should You Go to the ER for Pleurisy? Understanding When Urgent Care is Necessary | iCarehttps://www.icare-er.com/should-you-go-to-the-er-for-pleurisy/
Coughing Up Blood: If you cough up blood or notice blood in your sputum, it requires immediate evaluation by a healthcare professional. […] Pleurisy is a painful condition that can be indicative of various underlying health issues. For mild to moderate cases, visiting an urgent care center can be a practical and efficient option for evaluation and treatment. However, in cases of severe chest pain, shortness of breath, high fever, fainting, or the presence of chronic health conditions, heading to the emergency room is crucial.
- #29 Pleurisy 101: Causes, Symptoms and Treatment Options | AdventHealthhttps://www.adventhealth.com/blog/pleurisy-101-causes-symptoms-and-treatment-options
Pleurisy causes inflammation of the pleura, the thin, sheet-like membrane layers that surround the lungs. Its often characterized by sharp chest pain, which can be concerning and uncomfortable. […] The most common symptom of pleurisy is sharp chest pain when breathing deeply. The pain may also radiate to your shoulder. You may notice your pain worsens when you sneeze, cough or are active, and you might feel mild relief when you take shallow breaths. You may also have difficulty breathing, shortness of breath and a dry cough. […] Most importantly, remember that chest pain and difficulty breathing whether caused by pleurisy or another condition are medical emergencies that always warrant immediate care. If youre experiencing these symptoms, call 911 immediately to be taken to your closest AdventHealth emergency room. […] When treated promptly, pleurisy typically wont result in any lasting lung damage.
- #30 Pleurisy: Types, Symptoms, Causes, Diagnosis, Treatment and Morehttps://www.health.com/pleurisy-overview-7110453
Early diagnosis and treatment are vital for addressing pleurisy and the underlying cause. With appropriate treatment, most people with pleurisy recover fully within a few weeks. If left untreated, pleurisy may come and go or continue indefinitely. The most important thing is to seek medical attention if you have symptoms so diagnosis and treatment can begin promptly.