title: Bronchopleural fistula and lymphocytic empyema due to Histoplasma capsulatum.
abstract: A patient presented with chest pain, fever, and chills and developed a large pleural effusion while receiving antibiotic therapy. On a CT scan of the chest, multiple loculi of fluid were noted, and at surgery, a complex empyema with an associated bronchopleural fistula related to a granulomatous process in the lower lobe of the right lung was demonstrated. Cultures revealed Histoplasma capsulatum in the pleural fluid as well as in the pulmonary parenchymal process.
authors.affiliation: Montgomery Cardiothoracic and Vascular Surgery, Ala, USA.
authors.forename: J V
authors.initials: JV
authors.lastname: Richardson
authors.forename: R B
authors.initials: RB
authors.lastname: George
mesh_terms: D001983:Bronchial Fistula / Q000209:etiology* / Q000382:microbiology; D016724:Empyema, Pleural / Q000382:microbiology* / Q000473:pathology; D005402:Fistula / Q000209:etiology* / Q000382:microbiology; D006097:Granulation Tissue / Q000382:microbiology / Q000473:pathology; D006099:Granuloma / Q000382:microbiology / Q000473:pathology; D006658:Histoplasma / Q000145:classification / Q000302:isolation & purification; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications*; D008214:Lymphocytes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology* / Q000382:microbiology