Pleurisy Mediastinal

Mediastinal pleurisy: causes, symptoms and treatment

Mediastinal pleurisy, also known as paramediastinal pleurisy, is a serious disease characterized by inflammation of the pleura in the mediastinal region of the chest cavity. The mediastinum is the space between the lungs where the heart, esophagus, trachea, lymph nodes and other important organs are located.

The reasons for the development of mediastinal pleurisy can be varied. One of the most common causes is spread of infection from other organs or tissues, such as the lungs or mediastinum. Bacterial, fungal or viral infections can cause inflammation of the pleura, leading to mediastinal pleurisy.

Besides infections, other possible causes of mediastinal pleurisy include trauma, tumors, rheumatic diseases, and autoimmune disorders. Sometimes mediastinal pleurisy can be associated with procedures such as surgery in the chest cavity or insertion of a catheter into the mediastinal space.

Symptoms of mediastinal pleurisy can vary depending on the cause and degree of inflammation. Common symptoms include chest pain, which may be worsened by deep breathing or coughing, difficulty breathing, fever, weakness and loss of appetite. In some cases, patients may experience pressure or constriction in the chest cavity.

Diagnosis of mediastinal pleurisy usually requires an integrated approach. Your doctor may order a chest x-ray, computed tomography (CT) scan, or magnetic resonance imaging (MRI) scan of the mediastinal area. Additional tests, such as a pleural biopsy or puncture fluid analysis, may be necessary to determine the cause of the inflammation.

Treatment of mediastinal pleurisy depends on its cause and severity. In cases associated with infection, antibiotic or antifungal therapy may be required. Anti-inflammatory drugs or analgesics may be prescribed to relieve pain and inflammation. In some cases, when other treatments are ineffective, surgery may be required.

The main principle of preventing mediastinal pleurisy is to prevent underlying causes, such as infections and injuries. This includes practicing good hygiene, regular hand washing, vaccinations against infections, and avoiding exposure to pathogens.

In conclusion, mediastinal pleurisy is a serious inflammatory disease of the pleura in the mediastinal region of the chest cavity. It can have a variety of causes and manifestations, and requires complex diagnosis and treatment. If you suspect mediastinal pleurisy or the appearance of corresponding symptoms, it is recommended to consult a doctor for diagnosis and to determine the optimal treatment plan.

Pleurisy in the mediastinum or mediastinal pleurisy is a disease that is manifested by the accumulation of fluid in the tissues between the pleural layers. In this case, the fluid can be serous, serous-hemorrhagic or purulent. The disease most often occurs in children, adolescents and adult men. Mediastial pleurisy is characterized by severe inflammatory processes, mainly of the pulp, pulmonary belt, diaphragm and heart, with impaired pulmonary breathing, which aggravates the course of the disease.

Symptoms and complaints with pleural mediastinal inflammation are often absent, so the disease is detected by chance during examination. Signs of the disease may be associated with complications that arise when mediastitial inflammation occurs. The most common symptom is pain, which is localized in the center, and coughing, as well as cough mixed with mucopurulent masses.

With mediastinal pleural inflammation, body temperature changes, appetite worsens, general weakness and increased fatigue appear. Also, mediastinal pleurisy can cause arrhythmia, tachycardia, bradycardia and arterial hypertension or hypotension.

Pleural mediastinal process can be differentiated based on chest x-ray