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A 25-Year-Old Patient With Spontaneous Hemothorax*

Hugh Black, MD; Darren Sigal, MD; David Barnes, MD; Chance Felisky, MD; Dave Follette, MD; Richart Harper, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine (Drs. Black and Harper), Department of Internal Medicine (Dr. Sigal), Department of Emergency Medicine (Dr. Barnes), and Department of Cardiothoracic Surgery (Drs. Felisky and Follette), University of California at Davis School of Medicine, Davis, CA.

Correspondence to: Hugh Black, MD, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of California at Davis School of Medicine, 4150 V St, Suite 3400, Sacramento, CA 95817; e-mail: hblack60@msn.com



Chest. 2005;128(4):3080-3083. doi:10.1378/chest.128.4.3080
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Extract

A 25-year-old African-American woman with a chief complaint of progressive dyspnea and cough presented to the inpatient service after her primary care physician noted a significant right-sided pleural effusion on a chest radiograph. She had a 2- to 3-year history of intermittent, sharp, pleuritic chest pain radiating from the right subscapular region, across the anterior chest, and down the right arm that worsened with cough and accompanied this episode. Three months prior to hospital admission, dyspnea had developed with exertion and cough productive of white sputum. She sought medical attention 2 months prior to hospital admission, but two courses of outpatient antibiotic therapy did not ameliorate her condition. Her activity level deteriorated from unrestricted walking to dyspnea at rest.

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