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Infected lung cysts
Darryl A Chung
Thoracic Surgical
Unit, Norfolk & Norwich Hospital, Brunswick Road, Norwich NR1 3SR, UK
Accepted 8 June
1998
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Introduction |
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A previously well 31-year-old woman was referred to the thoracic surgical unit following 11 days of unsuccessful antibiotic treatment (amoxycillin then ceftazidime) for `flu-like' illness associated with an unproductive cough and radiographically evident cystic lesions in the left lung (figure 1 and 2). Apart from a vague recollection of `air bubbles' in her lungs in early childhood that was never followed up, she had no medical history of note, and no family history of emphysema. She had previously smoked an average of 15 cigarettes daily for 15 years but had stopped a year earlier.
| Figure Removed (Available Only in the Full Text) |
| Figure Removed (Available Only in the Full Text) |
Examination revealed a pyrexia of 38.1°C, a regular pulse rhythm at
100 beats/min and reduced air entry in the left upper and mid zones of
the chest, but no other abnormalities. Her haemoglobin level was 11.4 g/dl and white cell count 17.1 × 109/l. A diagnostic
percutaneous aspiration was performed, yielding purulent fluid which
gave a sterile culture, and no acid-fast
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