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Bronchopleural Fistula and Lymphocytic Empyema due to Histoplasma capsulatum

James V. Richardson; Ronald B. George
Author and Funding Information

Affiliations: From Montgomery Cardiothoracic and Vascular Surgery, Montgomery, Ala,  From the Department of Medicine, Louisiana State University School of Medicine, Shreveport

Affiliations: From Montgomery Cardiothoracic and Vascular Surgery, Montgomery, Ala,  From the Department of Medicine, Louisiana State University School of Medicine, Shreveport


1997 by the American College of Chest Physicians


Chest. 1997;112(4):1130-1132. doi:10.1378/chest.112.4.1130
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Abstract

A patient presented with chest pain, fever, and chills and developed a large pleural effusion while receiving antibiotic therapy. On a CT scan of the chest, multiple loculi of fluid were noted, and at surgery, a complex empyema with an associated bronchopleural fistula related to a granulomatous process in the lower lobe of the right lung was demonstrated. Cultures revealed Histoplasma capsulatum in the pleural fluid as well as in the pulmonary parenchymal process.


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