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(Chest. 1957;31:680-687.)
© 1957 American College of Chest Physicians

Glucose Level in Pleural Fluid As a Diagnostic Aid

LOUIS M. BARBER M.D., F.C.C.P.; LEOPOLD MAZZADI M.D., F.C.C.P.; DUANE D. DEAKINS M.D.; CLARE N. REESE M.D.; and WILSON L. ROGERS 1

1 Bret Harte Sanatorium.

1. Results of pleural fluid glucose determinations in 100 cases with normal blood sugar levels are described.

2. The conclusion is made that pleural fluid glucose of 26 mgm. per cent or lower are highly suggestive of tuberculosis as the cause of the effusion. In cases with levels of 80 mgm. per cent or higher, one should be suspicious of a non-tuberculous etiology and perhaps should consider early thoractomy in order to establish the diagnosis.

3. Although pleural fluid glucose levels are a valuable tool, they should not be relied upon as the sole diagnostic criterion.






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Copyright © 1957 by the American College of Chest Physicians.