Statistics from Altmetric.com
A 77-year-old man was admitted to our hospital with a 2-day history of dyspnoea that had started suddenly. Chest x-ray showed a left hydropneumothorax under tension with mediastinal shift (figure 1); blood analyses revealed a high inflammatory reaction. Chest drainage improved symptoms initially with re-expansion of the collapsed lung and a yellowish purulent effusion discharged from the chest drain with little or no air leakage under continuous suction. Biochemical test results of the fluid included: lactate dehydrogenase (LDH) 1522 IU/l, glucose 2 mg/dl and protein 5.7 g/dl.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.