Epidemiological, Etiological and Evolutionary Profile of Purulent Pleurisy: About 91 Cases

Purulent pleurisy is a medical emergency characterized by the presence of purulent fluid between the two pleural sheets, which can affect lung function and compromise vital prognosis, and whose treatment remains a major challenge for the medical community. A retrospective study of 91 cases at the Centre Hospitalier Universitaire Ibn Rochd in Casablanca analyzed the epidemiological and etiological features of the disease, noting a clear male predominance and an average age of 42. Symptoms were dominated by chest pain and fever. Chest X-rays and CT scans revealed mainly free or compartmentalized pleurisy. Bacterial origin followed by tuberculosis were the main etiologies, and rapid, targeted management of purulent pleurisy was emphasized to improve patient prognosis.