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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

A Rare Case of EmpyemaA Rare Case of Empyema

Neil M. Yager, DO; Ketan Ghate, MD; Rebecca L. Swan, MD; Ali Farrokh, MD; Kerry Barba, MD; Scott H. Beegle, MD
Author and Funding Information

From the Department of Internal Medicine (Drs Yager, Ghate, and Barba), Department of Radiology (Dr Swan), and Department of Pulmonary and Critical Care (Drs Farrokh and Beegle), Albany Medical Center.

Correspondence: Neil Yager, DO, 12 Woodlake Rd, Apt 6, Albany, NY 12203; email: neil.yager@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(1):350-353. doi:10.1378/chest.12-2732
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Extract

An 85-year-old man presented to an outside hospital with 2 weeks of progressive vague chest discomfort and worsening shortness of breath. Upon presentation he was septic, with fever, tachypnea, and tachycardia. Chest radiograph showed a large spontaneous left-sided pneumothorax with a large pleural effusion. A left chest tube was placed, and he was fluid resuscitated, placed on vasopressors and broad-spectrum antibiotics, and transferred to our institution for further management. His past medical history was significant for early-stage chronic lymphocytic leukemia (CLL), which has been monitored but never treated, diabetes, gout, and atrial fibrillation.

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