Parapneumonic effusion

Case contributed by Dr Henry Knipe

Presentation

Left chest pain with increased work of breathing.

Patient Data

Age: 45
Gender: Male
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.

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). 

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Case information

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

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