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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gould, Justin |
| Description | Author Affiliation: Gould J ( Department of General Medicine, Maidstone & Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK. justin.gould@doctors.org.uk) |
| Abstract | A 28-year-old Gurkha soldier presented with signs of severe chest sepsis and respiratory distress. High-flow oxygen, broad-spectrum intravenous antibiotics and intravenous fluids were started immediately. Bedside thoracic ultrasound demonstrated a moderate right pleural effusion suggestive of an empyema. A pleural aspirate was borderline for pleural infection, therefore, a chest drain was inserted and the patient was transferred to high dependency. Within 48 h the patient clinically improved. Three weeks later, a persistently raised C reactive protein and indeterminate right lower lobe radiographic changes was observed. Video-assisted thorascopic surgery was subsequently performed. Although technically difficult, a large amount of pus was drained from the pleural cavity. The patient was discharged, returning to normal army duties 8 weeks later. Follow-up chest radiographs showed complete resolution of the empyema and no evidence of scarring. The CRP normalised to <1. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2013 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Empyema, Pleural Diagnosis Surgery Bronchoscopy C-Reactive Protein Chest Tubes Diagnosis, Differential Diagnostic Imaging Thoracic Surgery, Video-Assisted Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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