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It is due to cytokine mediated increase in capillary permeability in dengue viral infection. It says tht IL-8 levels in pleural effusion fluid is high. Fluid can be an exudate or a transudate. What is mostly seen is an exudate.

I was searching for the same question this answer is in "Pleural diseases By Richard W. Light".

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Q: Why dengue patient develop pleural effusion?
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