Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production?
Pyopneumothorax is characterized by a pleural collection of pus and air requiring emergent thoracic drainage. A 65-year-old diabetic woman presented with a two-week history of fatigue and dyspnea but without fever. Chest computed tomography showed extensive pleural effusion and air in the left pleur...
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doaj-ac7326024d814ebbbcdbe8f6aa89dd382021-03-22T12:50:03ZengElsevierRespiratory Medicine Case Reports2213-00712021-01-0132101372Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production?Osamu Kanai0Kohei Fujita1Misato Okamura2Koichi Nakatani3Tadashi Mio4Corresponding author. Division of Respiratory Medicine, National Hospital Organization Kyoto Medical Centre, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, Japan.; Division of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, JapanDivision of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, JapanDivision of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, JapanDivision of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, JapanDivision of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, JapanPyopneumothorax is characterized by a pleural collection of pus and air requiring emergent thoracic drainage. A 65-year-old diabetic woman presented with a two-week history of fatigue and dyspnea but without fever. Chest computed tomography showed extensive pleural effusion and air in the left pleural cavity, which caused a mediastinal shift with peripheral circulatory failure. There was no evidence of a pulmonary fistula. Anaerobic bacteria were found in the pus smear after microscopy. After 17 days of chest drainage and 18 days of antibiotic treatment, the patient recovered without any complications. The etiology of pyopneumothorax in this case was slowly progressive pyothorax due to gas-producing anaerobic bacteria. In conclusion, we should pay careful attention to serious infectious diseases, including pyothorax, in diabetic patients due to the high prevalence and subclinical symptoms.http://www.sciencedirect.com/science/article/pii/S2213007121000344Anaerobic bacteriaEmpyemaPyopneumothoraxPyothoraxTension pyopneumothorax |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Osamu Kanai Kohei Fujita Misato Okamura Koichi Nakatani Tadashi Mio |
spellingShingle |
Osamu Kanai Kohei Fujita Misato Okamura Koichi Nakatani Tadashi Mio Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? Respiratory Medicine Case Reports Anaerobic bacteria Empyema Pyopneumothorax Pyothorax Tension pyopneumothorax |
author_facet |
Osamu Kanai Kohei Fujita Misato Okamura Koichi Nakatani Tadashi Mio |
author_sort |
Osamu Kanai |
title |
Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? |
title_short |
Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? |
title_full |
Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? |
title_fullStr |
Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? |
title_full_unstemmed |
Afebrile tension pyopneumothorax due to anaerobic bacteria: Fistula or gas production? |
title_sort |
afebrile tension pyopneumothorax due to anaerobic bacteria: fistula or gas production? |
publisher |
Elsevier |
series |
Respiratory Medicine Case Reports |
issn |
2213-0071 |
publishDate |
2021-01-01 |
description |
Pyopneumothorax is characterized by a pleural collection of pus and air requiring emergent thoracic drainage. A 65-year-old diabetic woman presented with a two-week history of fatigue and dyspnea but without fever. Chest computed tomography showed extensive pleural effusion and air in the left pleural cavity, which caused a mediastinal shift with peripheral circulatory failure. There was no evidence of a pulmonary fistula. Anaerobic bacteria were found in the pus smear after microscopy. After 17 days of chest drainage and 18 days of antibiotic treatment, the patient recovered without any complications. The etiology of pyopneumothorax in this case was slowly progressive pyothorax due to gas-producing anaerobic bacteria. In conclusion, we should pay careful attention to serious infectious diseases, including pyothorax, in diabetic patients due to the high prevalence and subclinical symptoms. |
topic |
Anaerobic bacteria Empyema Pyopneumothorax Pyothorax Tension pyopneumothorax |
url |
http://www.sciencedirect.com/science/article/pii/S2213007121000344 |
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