A case of extrapleural empyema.
A 49-year-old man with diabetes mellitus and alcoholic liver cirrhosis presented with dyspnoea and fever. A chest computed tomography scan revealed three areas of loculated pleural effusion. Initially, the patient was thought to have an intrapleural empyema and was treated with intravenous antibiotics and closed drainage. However, as he did not improve, he was then treated with open drainage. During open drainage, the patient was diagnosed to have an extrapleural empyema and improved following open drainage treatment.
Osaki
Shin-ichi
S
Nishi-Fukuoka Hospital, Graduate School of Sciences, Kyushu University, Fukuoka, Japan. osaki@kokyu.med.kyushu-u.ac.jp
Nakanishi
Yoichi
Y
Andou
Kouei
K
Takano
Koichi
K
Takayama
Koichi
K
Hirota
Nobuo
N
Ishibashi
Tsuneo
T
Hara
Nobuyuki
N
D003951:Diagnostic Errors; D004322:Drainage; D016724:Empyema, Pleural / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed