{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T17:08:41Z","timestamp":1778260121202,"version":"3.51.4"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":770,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Avicenna J Med"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sweet hydrothorax is a known, yet rare, complication of peritoneal dialysis. It can be life-threatening. This case is about a 70-year-old lady who presented with acute respiratory failure due to massive right-sided hydrothorax that developed insidiously over 3 months of starting peritoneal dialysis. Thoracentesis and technetium scan confirmed the diagnosis. Treatment was successful with hemodialysis.<\/jats:p><jats:p>Key messages<\/jats:p><jats:p>\u2013 Peritoneal Dialysis (PD) can be complicated by sweet hydrothorax.<\/jats:p><jats:p>\u2013 Symptoms onset after initiation of PD and symptoms resolve with its discontinuation suggest the diagnosis.<\/jats:p><jats:p>\u2013 High gradient glucose level between pleural fluid and plasma is a hallmark feature of sweet\nhydrothorax.<\/jats:p><jats:p>\u2013 Patients with life-threatening symptoms can consider hemodialysis or surgical options.<\/jats:p>","DOI":"10.4103\/ajm.ajm_131_18","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T07:15:48Z","timestamp":1560410148000},"page":"111-114","source":"Crossref","is-referenced-by-count":8,"title":["Sweet hydrothorax: a common presentation of a rare condition"],"prefix":"10.1055","volume":"9","author":[{"given":"Mohamad Alhoda","family":"Mohamad Alahmad","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Program, Mercy Health\u2014St. Vincent Medical Center, Toledo, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahil","family":"Kasmani","sequence":"additional","affiliation":[{"name":"Nephrology Associates of Toledo, Maumee, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"3568","DOI":"10.1093\/ndt\/gfr674","article-title":"Hemodialysis and peritoneal dialysis are associated with similar outcomes for end-stage renal disease treatment in Canada","volume":"27","author":"K Yeates","year":"2012","journal-title":"Nephrol Dial Transplant"},{"key":"ref2","first-page":"358","article-title":"A \u201csweet\u201d hydrothorax in a child on peritoneal dialysis","volume":"15","author":"D Gidaris","year":"2011","journal-title":"Hippokratia"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/00003072-199306000-00008","article-title":"Massive hydrothorax complicating peritoneal dialysis. Isotopic investigation (peritoneopleural scintigraphy)","volume":"18","author":"S Lepage","year":"1993","journal-title":"Clin Nucl Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1159\/000167997","article-title":"Acute hydrothorax in continuous ambulatory peritoneal dialysis\u2014a collaborative study of 161 centers","volume":"9","author":"Y Nomoto","year":"1989","journal-title":"Am J Nephrol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1093\/ndt\/gfg042","article-title":"Video-assisted thoracoscopic talc pleurodesis is effective for maintenance of peritoneal dialysis in acute hydrothorax complicating peritoneal dialysis","volume":"18","author":"S Tang","year":"2003","journal-title":"Nephrol Dial Transplant"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/jgs.12663","article-title":"Not so \u201csweet\u201d: An unusual case of dyspnea in an older woman on peritoneal dialysis","volume":"62","author":"E Clattenburg","year":"2014","journal-title":"J Am Geriatr Soc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1177\/089686080202200416","article-title":"Hydrothorax complicating peritoneal dialysis: Diagnostic value of glucose concentration in pleural fluid aspirate","volume":"22","author":"K M Chow","year":"2002","journal-title":"Perit Dial Int"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1097\/01.mcp.0000127901.60693.d0","article-title":"Pathogenesis and management of hydrothorax complicating peritoneal dialysis","volume":"10","author":"C C Szeto","year":"2004","journal-title":"Curr Opin Pulm Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.ejim.2006.05.005","article-title":"\u201cSweet\u201d hydrothorax complicating chronic peritoneal dialysis","volume":"17","author":"B Smolin","year":"2006","journal-title":"Eur J Intern Med"},{"key":"ref10","first-page":"1","article-title":"Severe \u201csweet\u201d pleural effusion in a continuous ambulatory peritoneal dialysis patient","volume":"13","author":"R R Maude","year":"2014","journal-title":"Respir Med Case Rep"}],"container-title":["Avicenna Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajm.AJM_131_18.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T22:44:27Z","timestamp":1628549067000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajm.AJM_131_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,8,9]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.4103\/ajm.ajm_131_18","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2231-0770","2249-4464"],"issn-type":[{"value":"2231-0770","type":"print"},{"value":"2249-4464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}