Staphlococcal chest infection

Case contributed by Jeremy Jones
Diagnosis probable

Presentation

Increasing shortness of breath. Green sputum production.

Patient Data

Age: 55 years
Gender: Male
x-ray

Increased opacification in the right upper lobe.

Right upper lobe collapse with volume loss and cavity formation.

Case Discussion

Increased right upper lobe opacification on the chest radiograph subsequently confirmed on the CT.  Collapse with volume loss and interspersed areas of cavitation, particularly at the apex.

Bronchoscopy and washings confirmed an infective etiology: Staph. aureus.

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