Parapneumonic effusion

Case contributed by Dr Henry Knipe

Presentation

Left chest pain with increased work of breathing.

Patient Data

Age: 45
Gender: Male
Modality: X-ray

 

Large left pleural effusion with associated left mid zone airspace opacity with air bronchograms. Right basal opacity and a small right pleural effusion.

Modality: CT

Left lower lobe consolidation and atelectasis. Moderate left pleural effusion extending to the oblique fissure. Very small right pleural effusion with minor atelectasis.

 

STREPTOCOCCUS PNEUMONIAE ANTIGEN: Positive for pneumococcal antigen in urine. Result consistent with pneumococcal pneumonia.

Case Discussion

Pleural effusions that complicate pneumonia are called parapneumonic effusions, they are relatively commony affecting ~40% of patients hospitalised with pneumonia. Streptococcus pneumoniae is a very common cause of community acquired pneumonia (and this is often referred to as pneumococcus pneumonia). 

PlayAdd to Share

Case Information

rID: 44224
Case created: 12th Apr 2016
Last edited: 18th Apr 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.