Non-Hodgkin's pleural lymphoma in long-standing tuberculous pyothorax mimicking suppuration
| Autor: | Kin Hang Fu, Poon Chuen Wong, Joseph Lee, Wing Wai Yew |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Pleural effusion Pleural Neoplasms Pleural disease Pneumothorax Artificial medicine Humans Tuberculosis Pulmonary Empyema Pleural Aged medicine.diagnostic_test business.industry Lymphoma Non-Hodgkin Respiratory disease General Medicine medicine.disease Empyema respiratory tract diseases Surgery Infectious Diseases Pneumothorax Heart failure Erythrocyte sedimentation rate Chronic Disease business Chest radiograph |
| Zdroj: | International Journal of Infectious Diseases. 5:167-169 |
| ISSN: | 1201-9712 |
| DOI: | 10.1016/s1201-9712(01)90094-3 |
| Popis: | A 71-year-old Chinese man presented with hemoptysis, purulent sputum, dyspnea, and distending discomfort over the right chest. Symptoms had persisted for 1 week. He had late-onset asthma and chronic heart failure attributable to car pulmonale and ischemic heart disease. He was a nonsmoker, but his history included pulmonary tuberculosis, 40 years previously. Treatment with right artificial pneumothorax resulted in a chronic pyothorax. Surgery had not been attempted because of the patient’s compromised cardiopulmonary status. On admission, the patient was tachypneic and vital signs were temperature, 37.8”C; blood pressure, 140/70 mmHg; pulse, lOO/minute. Chest examination revealed signs of a large right pleural effusion, and the rest of the physical examination was unremarkable. The leukocyte count was 12.3 X 109/L with neutrophilia of 80%; hemoglobin was 11.8 g/dL; and erythrocyte sedimentation rate (ESR) was 50 mm/h. The blood biochemistry, including the serum lactic dehydrogenase, was unremarkable. Chest radiograph showed calcified granulomata in the left lung apex and further enlargement of the huge right calcified pyothorax compared with the radiograph taken 1 year previously New multiple air-fluid levels were noticed inside the CI? Intercostal tubal drainage was performed, releasing 1800 mL of blood-stained turbid fluid in the sub sequent few days. The pleural fluid repeatedly was negative on cultures for aerobic and anaerobic microorganisms |
| Databáze: | OpenAIRE |
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