Pleural fluid ADA activity in tuberculous pleurisy can be low in elderly, critically ill patients with multi-organ failure.
Sae Byol KimBeomsu ShinJi-Ho LeeSeok Jeong LeeMyoung Kyu LeeWon-Yeon LeeSuk Joong YongSang Ha KimPublished in: BMC pulmonary medicine (2020)
ADA activity can be low in patients with TPE who are elderly, critically ill, and exhibit multiorgan failure. Low ADA activity cannot completely exclude the diagnosis of TPE, and physicians should exercise caution when interpreting pleural fluid exams.