| Cavitary lung abscess mistaken for pneumothorax after drainage of pus. |
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Bum Kee Hong, Jung Hyun Chang, Se Kyu Kim, Sung Kyu Kim, Won Young Lee |
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Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea |
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| Abstract |
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A 64-year-old male was admitted due to abruptly developed, severe dyspnea via local clinic. He had been a heavy smoker and alcoholic for a long time. Chest P A showed huge haziness in right upper lung field. SpιJtum culture for bacteriology was positive for Klebsiella pneumonia. Immediately, appropriate antibiotics were administered and artificial ventilation was staπed. On 40th hospital day, simple chest roentgenogram taken due to sudden aggravated dyspnea showed marked hyperlucency in right upper lung field, suggestive of rupture of abscess cavity and resultant pneumothorax. At that time, chest tube was inserted but air leakage from the chest tube persisted. Chest CT scan taken after chest tube insertion showed the tube inserted into a thin-wal1ed cavity in the above lesion. On 84th hospital day, right upper lobectomy with decortication was performed. Pathologically, cavitary lung abscess was diagnosed on the findings of paπial re-epithelialization of ciliated columnar epithelium with severe pulmonary vascular occ1usion and extensive fibrous pleural adhesions. |
| Key Words:
Klebsiella pneumonia, Pneumonia, Lung abscess |
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