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Images in medicine
Pleural empyema: a case of failing to see the discharge leading to discharge failure
  1. Zakariye Ashkir1,
  2. Georgios Tsaknis2,
  3. Andrew Jeffrey2
  1. 1Emergency Admissions Unit, Northampton General Hospital, Northampton, UK
  2. 2Respiratory Medicine, Northampton General Hospital, Northampton, UK
  1. Correspondence to Dr Zakariye Ashkir, Emergency Admissions Unit, Northampton General Hospital, Northampton NN1 5BD, UK; zakariye.ashkir{at}doctors.org.uk

http://dx.doi.org/10.1136/postgradmedj-2016-134340

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    A 54-year-old heavy smoker was admitted with a 2-week history of pleuritic chest pain, cough, shortness of breath and weight loss. He had not improved despite a course of antibiotics from his general practitioner.

    He was commenced on intravenous antibiotics for presumed pneumonia based on his chest X-ray, which seemed to show left middle zone opacification (figure 1), and after 2 days, he was discharged with a further oral antibiotic course.

    Figure 1

    Posteroanterior chest X-ray …

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    Footnotes

    • Contributors ZA: Principal author (study concept and design, drafting and revising the manuscript for content, including medical writing for content). GT and AJ: revising the manuscript for content, including medical writing for content.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.