Caso clínico : soporte nutricional en paciente con quilotórax.

Abstract

Chylothorax is considered one of the most uncommon pathologies, which is characterized by the accumulation of a liquid with high content of long-chain triglycerides, proteins and lymphocytes called chyle in the pleural cavity, causing a deterioration in the nutritional and immunological status of the patient who suffers from it, its etiology is diverse, therefore, it is necessary to identify and apply the appropriate treatment to reduce the amount of chyle and to cover requirements. I present a case of a 58-year-old male patient with a personal pathological history of arterial hypertension diagnosed three years ago and chronic renal failure three years ago receiving dialysis treatment three times a week. He is referred from the Hospital of Babahoyo for clinical picture of 15 days of evolution determined by dyspnea of medium efforts, is diagnosed with right pleural effusion, proceed to perform thoracentesis draining 1700 cc, is discharged later. After 7 to 9 days, he is admitted with the same symptoms, they drain 1500 cc and proceed to transfer him to this institution with chylothorax Dx. It is suggested to apply mixed nutritional support, prioritizing total parenteral nutrition (TPN) due to the high protein-caloric demand presented by the patient.