Bronchopleural fistula and lymphocytic empyema due to Histoplasma capsulatum.
case_report · Level V
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Abstract
A patient presented with chest pain, fever, and chills and developed a large pleural effusion while receiving antibiotic therapy. On a CT scan of the chest, multiple loculi of fluid were noted, and at surgery, a complex empyema with an associated bronchopleural fistula related to a granulomatous process in the lower lobe of the right lung was demonstrated. Cultures revealed Histoplasma capsulatum in the pleural fluid as well as in the pulmonary parenchymal process.
Medical subject headings
- Bronchial Fistula
- Empyema, Pleural
- Fistula
- Histoplasmosis
- Lung Diseases, Fungal
- Pleural Diseases