Spondylodiscitis presenting as pleural effusion in a geriatric female: a case report

Author(s):  
Funda Secik Arkin ◽  
Gulfidan Aras

Abstract Pleural effusion is a frequently seen medical problem caused by pulmonary and non-pulmonary diseases. Spondylodiscitis is a very rare cause of pleural effusion and is typically diagnosed based on clinical, laboratory, microbiological and radiological findings. The low incidence and different clinical presentations of Spondylodiscitis make its diagnosis and treatment challenging. We present the case of a 78-year-old female who was initially admitted due to chest pain and, upon chest radiography, was found to have pleural effusion; and eventually diagnosed with spondylodiscitis. Keywords: Spondylodiscitis, exudative pleural effusion, geriatrics, vertebra, infection. Continuous...

2020 ◽  
pp. 004947552096439
Author(s):  
Phiza Aggarwal ◽  
Saravanan Subramanian ◽  
Varinder Saini ◽  
Deepak Aggarwal

Isolated pleural effusion is a rare manifestation of filariasis that mimics tuberculosis, especially in endemic regions. We describe a case of lymphocytic and exudative pleural effusion showing microfilaria on pleural fluid cytology. A retrospective review of all cases of filarial pleural effusion reported after 2000 was conducted to evaluate the association between filariasis and pleural effusion as well as to screen the features that can help in accurate detection of these patients. The analysis suggested a causal association between the parasite and the development of pleural effusion with a high sensitivity of pleural fluid cytology for diagnosis.


Author(s):  
Kashish Dutta ◽  
Anuj Kumar ◽  
Surabhi Jaggi ◽  
Mandeep Kaur Sodhi ◽  
Deepak Aggarwal

Pleural effusion has various aetiologies, mostly located either in the lung parenchyma or in the pleura. Subphrenic causes, leading to exudative pleural effusion are uncommon. Authors hereby, presented a case of a 50-year-old female with recurrent left sided pleural effusion. The effusion was haemorrhagic, exudative with low Adenosine Deaminase (ADA), and no malignant cells on cytology. Contrast Enhanced Computed Tomography (CECT) thorax and upper abdomen showed an incidental splenic haematoma. With conservative treatment, splenic haematoma and adjoining pleural effusion resolved completely. Thus, this case highlights splenic haematoma as a rare but important cause of pleural effusion.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Gautam Das ◽  
Stephen E. R. S. Stanaway ◽  
Liz Brohan

Objective. To describe a patient with unilateral exudative pleural effusion that developed after commencement of carbimazole.Methods. We describe the presentation and clinical journey of an elderly woman who presented to the chest physicians initially with pleural effusion but was followed up by the endocrinology team.Result. The patient was a 77-year-old Caucasian woman who presented with symptoms of breathlessness and a confirmed unilateral pleural effusion while being on treatment for thyrotoxicosis. Her symptoms needed recurrent hospital admission for investigations and drainage, but no potential cause was identified after extensive investigations. A drug-induced exudative effusion consequent to carbimazole intake was diagnosed as discontinuation of the drug lead to complete resolution of the effusion with no recurrence.Conclusion. Physicians and Endocrinologist must bear in mind that this potentially rare complication of carbimazole while treating patients of thyrotoxicosis as appearance of similar features in their patients while being on carbimazole should lead to the discontinuation of the drug, and alternative treatment strategy should be considered.


Pain Medicine ◽  
2003 ◽  
Vol 4 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Ghassan Moufarrege ◽  
Evan Frank ◽  
Donna D. Carstens

2020 ◽  
Vol 10 ◽  
pp. 3
Author(s):  
Junaid T. Yasin ◽  
Salah A. Daghlas ◽  
Aws Hamid ◽  
Ayman H. Gaballah

Chondrosarcomas are tumors consisting of osseous or cartilaginous stroma. They are not an uncommon pathology; however, primary pulmonary chondrosarcomas arising in lung parenchyma are extremely rare, with few cases published in literature. Herein, we present a case with biopsy-proven primary pulmonary chondrosarcoma after exclusion of primary origin elsewhere. In the case presented in this report, we demonstrate the clinical presentations, pulmonary function tests, and the radiological findings of this rare tumor in a young male patient. Further, we present a brief review of existing literature for patients with similar pathology.


Author(s):  
Bassem Alhariri ◽  
Ayisha Ameen ◽  
Abdulqadir Nashwan

Patients with pleural effusion are mostly presenting with shortness of breath and pleuritic chest pain. This report describes a case of PE who presented with left shoulder pain and was found to have rapidly accumulating massive effusion within 24 hours of presentation. Thoracocentesis was performed a showed an exudative picture


Chest Imaging ◽  
2019 ◽  
pp. 171-174
Author(s):  
Christopher M. Walker

Empyema discusses the clinical features, evolution, differential diagnosis, complications, and imaging manifestations of this disease process. There are three distinct stages in the evolution of empyema: exudative stage, fibropurulent stage, and organizing stage. The majority of patients with empyema are symptomatic and present with cough, fever, chest pain, and dyspnea. A simple parapneumonic effusion manifests as a free small to moderate pleural effusion of variable size and is usually associated with adjacent consolidation. Empyema manifests as a loculated pleural effusion which may or may not be associated with adjacent consolidation. Empyema typically exhibits smooth parietal pleural thickening and enhancement indicative of an exudative pleural effusion. Approximately 50% exhibit the split pleural sign with thickening and enhancement of the visceral and parietal pleura. Complications of empyema include bronchopleural fistula, empyema necessitans, “trapped” lung, and malignant transformation. The treatment of empyema is drainage via thoracostomy tubes or surgical decortication in complicated cases.


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