Infected bullae: a recognizable entity.
Infected bullae are seldom diagnosed. They are frequently confused with pulmonary abscess. We present a case with a characteristic evolution. Bullae were identified previous to the infection. The illness developed gradually with scanty sputum, pleuritic pain and finally a febrile illness. Fever abated 48 hours after initiating two weeks of therapy with intravenous Clindamycin and Amikacin. As it is commonly seen, radiographic resolution was slow but it was complete in 8 weeks. Recognition of infected bullae is important to avoid inappropriate diagnostic or therapeutic interventions.
Rivera-Rivera
R
R
Pulmonary Disease Section, San Juan Veterans Administration Medical Center.
Ramírez-Rivera
J
J
D000583:Amikacin / Q000008:administration & dosage; D002981:Clindamycin / Q000008:administration & dosage; D003352:Corynebacterium / Q000302:isolation & purification; D003354:Corynebacterium Infections / Q000175:diagnosis* / Q000188:drug therapy; D003560:Cysts / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008802:Mezlocillin / Q000008:administration & dosage; D008875:Middle Aged; D011859:Radiography; D013183:Sputum / Q000382:microbiology
D002981:Clindamycin; D000583:Amikacin; D008802:Mezlocillin