Diagnostik und Therapie parapneumonischer Pleuraergüsse – Fall 10/2009
J Hetzel, M Horger, W Spengler, H Aebert, L Kanz, K Müssig · DMW - Deutsche Medizinische Wochenschrift · 2009 · Heft 46 · S. 2341
Bibliografische Angaben
Zusammenfassung
Summary HISTORY AND ADMISSION FINDINGS: We report on a 47-year-old male patient who was admitted for exercise-induced dyspnea and easy fatigability. Physical examination revealed reduced breath and percussion sounds of the left basal lung. INVESTIGATIONS: Laboratory investigations revealed leucocytosis and elevated C-reactive protein levels. Chest X-ray showed an area of increased opacity of the left lower hemithorax. Computed tomography (CT) confirmed an encapsulated, septated pleural effusion. The aspirate was purulent with abundant neutrophil granulocytes and a pH value of 7.1. DIAGNOSIS, TREATMENT AND COURSE…