Bilateral massive empyema with bronchopleural fistula.

Published on Sep 1, 2020in Postgraduate Medical Journal1.911
· DOI :10.1136/POSTGRADMEDJ-2019-137328
Ko Harada3
Estimated H-index: 3
(Okayama University),
Hideharu Hagiya13
Estimated H-index: 13
(Okayama University)
+ 0 AuthorsFumio Otsuka35
Estimated H-index: 35
(Okayama University)
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Abstract
A 51-year-old Japanese man with a history of temporal lobe epilepsy, schizophrenia and multiple dental caries was admitted to a hospital with fever and dyspnea. He had a wet cough over the last month. Chest CT showed bilateral, large, thick-walled cavitary lesions that contained air-fluid levels (figure 1A), indicating a complex bronchopleural fistula and associated empyema. Chest tubes were placed, and a large amount of greenish-white pus was drained from both sides (figure …
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#1Naoki Tsujimoto (Kyorin University)H-Index: 6
#2Takeshi Saraya (Kyorin University)H-Index: 19
Last. Hajime Takizawa (Kyorin University)H-Index: 20
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Background Pleural separation, the “split pleura” sign, has been reported in patients with empyema. However, the diagnostic yield of the split pleura sign for complicated parapneumonic effusion (CPPE)/empyema and its utility for differentiating CPPE/empyema from parapneumonic effusion (PPE) remains unclear. This differentiation is important because CPPE/empyema patients need thoracic drainage. In this regard, the aim of this study was to develop a simple method to distinguish CPPE/empyema from P...
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#1Ning JinH-Index: 1
#2John Paul Brady (American University of the Caribbean School of Medicine)H-Index: 1
Last. David M. Widlus (UMD: University of Maryland, College Park)H-Index: 1
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Pleural effusion is commonly seen associated with pneumonia. When this progresses to empyema, directed therapy is frequently required. Chest radiographic and computed tomography findings can help distinguish empyema from a transudative pleural effusion. Keywords: chest x-ray; pneumonia; empyema; chest tube; chest CT scan (Published: 17 April 2013) Citation: Journal of Community Hospital Internal Medicine Perspectives 2013, 3 : 20503 - http://dx.doi.org/10.3402/jchimp.v3i1.20503
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