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)
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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