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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 57-Year-Old Man With a Fluid-Containing Lung Cavity*

Divay Chandra, MD; Said H. Soubra, MD; Daniel M. Musher, MD
Author and Funding Information

*From the Department of Medicine (Dr. Chandra), Division of Pulmonary and Critical Care Medicine (Dr. Soubra), and Division of Infectious Diseases (Dr. Musher), Baylor College of Medicine, Houston, TX.

Correspondence to: Divay Chandra, MD, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030; e-mail: divayc@bcm.edu



Chest. 2006;130(6):1942-1946. doi:10.1378/chest.130.6.1942
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A 57-year-old man with very severe bullous emphysema presented with fever and a history of right-sided pleuritic chest pain for 5 days. He denied an increase in cough, sputum production, or weight loss. He had a 75-pack-year smoking history and had undergone resection of the right upper lobe for non-small cell lung cancer in 1994. He had gradually worsening shortness of breath for 4 months before hospital admission; therapy with oral prednisone, 20 mg/d, had been started 2 months prior to presentation, with intermittent increases to 60 mg/d, without clinical improvement. His medications included inhaled albuterol, tiotropium, and fluticasone. There was no history of diabetes, seizures, aspiration, alcohol abuse, or recent travel outside Houston.

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