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Pleural effusion is a common occurrence in patients with late-stage chronic kidney disease (CKD). In developing countries, many effusions remain undiagnosed after pleural fluid analysis (PFA) and patients are empirically treated with antitubercular therapy. The aim of this study was to evaluate the role of adenosine deaminase (ADA), nucleic acid amplification tests (NAAT) and medical thoracoscopy in distinguishing tubercular and non-tubercular aetiologies in exudative pleural effusions complicating CKD.

indian journal of medical research

Utility of adenosine deaminase (ADA), PCR &amp; thoracoscopy in differentiating tuberculous &amp; non-tuberculous pleural effusion complicating chronic kidney disease