Pyopneumothorax secondary to Streptococcus milleri infection.
Mohd Jazman Che RahimNurashikin MohammadWan Syamimee Wan GhazaliPublished in: BMJ case reports (2016)
We report a case of a 46-year-old Malay woman with underlying hypothyroidism post thyroidectomy who presented with worsening breathlessness, orthopnoea, productive cough and left-sided pleuritic chest pain of 3 days duration. Chest X-ray on admission showed left-sided massive hydropneumothorax. Pleural tapping revealed empyema. A chest tube was inserted immediately. The culture of pleural fluid grew Streptococcus constellatus The patient was treated with antibiotics for a total of 6 weeks and underwent open thoracotomy and decortication during admission. Subsequently, her lung condition improved and there was no evidence of recurrence during follow-up.
Keyphrases
- biofilm formation
- emergency department
- case report
- candida albicans
- minimally invasive
- high resolution
- single cell
- aortic valve replacement
- pseudomonas aeruginosa
- staphylococcus aureus
- free survival
- dual energy
- squamous cell carcinoma
- papillary thyroid
- magnetic resonance imaging
- aortic valve
- newly diagnosed
- cystic fibrosis
- magnetic resonance
- preterm birth
- transcatheter aortic valve implantation
- aortic stenosis