Articles |

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion : A Series of Five Cases FREE TO VIEW

Steven N. Bass; Raja Shekar; Rajesh K. Ailani; Adi A. Gerblich
Author and Funding Information

Affiliations: From the Department of Medicine, St. Luke's Medical Center, Cleveland,  From the Department of Medicine, Meridia Huron Hospital, Cleveland,  From the Department of Medicine, Grace Hospital, Cleveland

Steven Bass, MD, 11311 Shaker Blvd, Cleveland, OH 44104

1998 by the American College of Chest Physicians

Chest. 1998;114(2):642-647. doi:10.1378/chest.114.2.642
Text Size: A A A
Published online


Five patients are reported who have pleural effusion and pyogenic vertebral osteomyelitis. In four of the five patients, the presenting problem was a large pleural effusion, and three of these four patients had an exudative effusion. Initial evaluation and investigations in these patients were directed toward the pleuropulmonary disease, delaying the diagnosis of osteomyelitis, and in two patients, this delay resulted in neurologic complications. In the fifth patient, the pleural effusion was initially small; however, during the course of a workup for osteomyelitis, the effusion increased rapidly. Two out of the five patients had empyema, and the other three patients had a large pleural effusion associated with and apparently caused by vertebral osteomyelitis. Vertebral osteomyelitis should be considered in the differential diagnosis of pleural effusion of uncertain cause especially if there is associated back pain.




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543