Pleural empyema secondary to xanthogranulomatous pyelonephritis
| Autor: | Marianne L S Tinkler, Sunil Mathur, Alison Kent, Andy Beale, Adam Maxwell |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Gastroenterology Polymyalgia rheumatica 03 medical and health sciences Pleural disease 0302 clinical medicine Internal medicine Biopsy Humans Medicine Medical history 030212 general & internal medicine Hydronephrosis Empyema Pleural Aged Pyelonephritis Xanthogranulomatous medicine.diagnostic_test business.industry Pleural empyema Respiratory infection medicine.disease Empyema Anti-Bacterial Agents 030228 respiratory system Female Tomography X-Ray Computed business |
| Zdroj: | Thorax. 76:740-741 |
| ISSN: | 1468-3296 0040-6376 |
| Popis: | A 79-year-old woman presented to acute services with a 2-week history of shortness of breath, fever and a cough productive of purulent sputum. She had a medical history of polymyalgia rheumatica, chronic obstructive pulmonary disease and hypertension. She had been admitted with a right-sided pleural empyema 9 months earlier, which had been treated with chest tube drainage and intravenous antibiotics. On that occasion, pH of pleural fluid was 6.7, white cell count (WCC) ++, lactate dehydrogenase (LDH) 7554 U/L and total protein 39 g/L (serum total protein 73). Neither pleural fluid nor contemporaneous blood cultures had shown any significant growth. In the past year, she had been found to have right-sided hydronephrosis with contrast-enhanced abdominal CT demonstrating a mass arising from the upper pole of the right kidney. Subsequent percutaneous-guided biopsy performed under the urology team identified prominent collections of foamy histiocytes, with immunohistochemical analysis demonstrating strongly positive staining for CD68 and vimentin. These findings were consistent with a diagnosis of xanthogranulomatous pyelonephritis, thought likely to be secondary to … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|