Spontaneous Chylothorax following Septic Pulmonary Embolization.

Q4 Medicine
Case Reports in Pulmonology Pub Date : 2020-02-21 eCollection Date: 2020-01-01 DOI:10.1155/2020/3979507
Michael Agustin, Michele Yamamoto, Chawat Tongma, Leslie Anne Chua, Michael Torres, Scott Shay
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引用次数: 2

Abstract

Chylothorax is the occurrence of chyle (lymph) in the pleural cavity secondary to damage of the thoracic duct. It is a rare form of pleural effusion which appears as a milky white turbid fluid. Malignancy is the leading cause of nontraumatic chylothorax while inadvertent surgical injury to the thoracic duct is the major cause of traumatic chylothorax. We report a case of spontaneous left-side chylothorax following septic pulmonary embolization (SPE) with Methicillin-Resistant Staphylococcus aureus (MRSA). This is a rare case of a nonmalignant, nontraumatic, and nontuberculous spontaneous chylothorax which was conservatively treated with fibrinolysis and diet modification.

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脓毒性肺栓塞后自发性乳糜胸。
乳糜胸是继发于胸导管损伤的胸膜腔内乳糜(淋巴)的发生。这是一种罕见的胸膜积液,表现为乳白色浑浊液体。恶性肿瘤是非外伤性乳糜胸的主要原因,而手术对胸导管的不慎损伤是外伤性乳糜胸的主要原因。我们报告一例自发性左侧乳糜胸后脓毒性肺栓塞(SPE)与耐甲氧西林金黄色葡萄球菌(MRSA)。这是一例罕见的非恶性、非外伤性、非结核性自发性乳糜胸,经纤维蛋白溶解和饮食改变保守治疗。
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来源期刊
Case Reports in Pulmonology
Case Reports in Pulmonology Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.80
自引率
0.00%
发文量
23
审稿时长
13 weeks
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