scholarly journals Spontaneous Chylothorax following Septic Pulmonary Embolization

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Michael Agustin ◽  
Michele Yamamoto ◽  
Chawat Tongma ◽  
Leslie Anne Chua ◽  
Michael Torres ◽  
...  

Chylothorax is the occurrence of chyle (lymph) in the pleural cavity secondary to damage of the thoracic duct. It is a rare form of pleural effusion which appears as a milky white turbid fluid. Malignancy is the leading cause of nontraumatic chylothorax while inadvertent surgical injury to the thoracic duct is the major cause of traumatic chylothorax. We report a case of spontaneous left-side chylothorax following septic pulmonary embolization (SPE) with Methicillin-Resistant Staphylococcus aureus (MRSA). This is a rare case of a nonmalignant, nontraumatic, and nontuberculous spontaneous chylothorax which was conservatively treated with fibrinolysis and diet modification.

2010 ◽  
Vol 28 (4) ◽  
pp. 537.e3-537.e6 ◽  
Author(s):  
Bruno Espirito Santo de Araújo ◽  
Juliana Milward Borchert ◽  
Paulo Gustavo Manhães ◽  
Fabienne Antunes Ferreira ◽  
Mariana Severo Ramundo ◽  
...  

Author(s):  
Chanhyeon Park ◽  
Dong Hoo Lee ◽  
Sung Yool Park ◽  
Do Hun Kim

Membranous croup is a rare disease that is characterized by diffuse inflammation of the larynx, trachea, and bronchi with adherent or semiadherent mucopurulent membranes in the subglottic trachea and larynx. All cases have occurred in children and there has been no case of adults. The clinical signs, symptoms, progress and prognosis of membranous croup are more severe than those of ordinary croup. The detached membrane in membranous croup may cause a high degree of air way obstruction and give similar characteristics of laryngeal diphtheria, thus it is important to differentiate it from diphtheria by identifying the pathogen. Herein we report with a review of literature a rare case of adult membranous croup caused by methicillin-resistant staphylococcus aureus mimicking laryngeal diphtheria.


2000 ◽  
Vol 86 (5) ◽  
pp. 419-421 ◽  
Author(s):  
Ken-ichi Shukunami ◽  
Shin-ya Hirabuki ◽  
Mitsuo Kaneshima ◽  
Naoyuki Kamitani ◽  
Fumikazu Kotsuji

Well-differentiated papillary mesothelioma (WDPM) of the peritoneum is a rare form of epithelial mesothelioma. It usually shows an indolent course and no standard treatment is available. Only a few cases of WDPM in the pleural cavity have been reported. We report on a 56-year-old post-menopausal woman who presented with ascites and right pleural effusion. Laparotomy followed by biopsy established the presence of WDPM in the peritoneum and pleural cavity. The patient was successfully treated with local and systemic administration of carboplatin.


2019 ◽  
Vol 10 (4) ◽  
pp. 2745-2747
Author(s):  
Kiran Madhusudhan ◽  
Madhusudhan

Ecthyma gangrenosum is a skin manifestation of Pseudomonas aeruginosa in immunocompromised individuals. Here we report a case of a 64-year-old diabetic female with Ecthyma gangrenosum lesions on both lower limbs, admitted for surgical debridement. Pus culture taken during surgery showed growth of Methicillin-resistant Staphylococcus aureus. The patient was started on appropriate antibiotics with reasonable glycemic control using parenteral insulin. The patient responded well to the above treatment and was discharged.


Cureus ◽  
2021 ◽  
Author(s):  
Ariana R Tagliaferri ◽  
Mohamed Elagami ◽  
Gabriel Melki ◽  
Yasmeen Sultana ◽  
Ashesha Mechineni

2017 ◽  
Vol 145 (1-2) ◽  
pp. 73-76
Author(s):  
Marko Spasic ◽  
Milos Arsenijevic ◽  
Nikola Doncic ◽  
Stanko Mrvic ◽  
Dragan Stojkovic ◽  
...  

Introduction. Chylothorax is an accumulation of chyle in the pleural cavity due to a disruption of the thoracic duct. Traumatic chylothoraces are usually a result of a penetrating trauma and disruption of the thoracic duct, but blunt traumatic chylothorax is a rare condition. The aim of this paper is to present a rare case of traumatic chylothorax after blunt thoracic trauma. Case Outline. We present a case of traumatic chylothorax after blunt thoracic trauma in a patient injured in a motor vehicle accident. The patient had a right-sided fracture of rib XI, hydropneumothorax, lung contusion, and signs of pneumomediastinum. We performed thoracic drainage, but a few days later, according to the increase of amount of the fluid daily drained, and the confirmation of laboratory findings of the analyzed fluid, we made a diagnosis of chylothorax and the patient underwent a thoracotomy, where we sutured the thoracic duct. Conclusion. Chylothorax should be considered in patients after chest trauma if they develop a milky pleural effusion. Analysis of pleural fluid and level of triglycerides is important for the diagnosis and treatment of chylothorax.


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