Jahangir Abdullah, Sahra Syeda, Anwar Shamsuddin, Mobarakai Neville, Jahangir Ahmad
Staten Island University Hospital, Staten Island, NY, 10305, USA.
King Edward Medical University, Lahore, Punjab, 54000, Pakistan.
Respir Med Case Rep. 2021 Jun 28;33:101460. doi: 10.1016/j.rmcr.2021.101460. eCollection 2021.
Right-sided empyema secondary to esophageal rupture are rare but reported in the medical literature. We describe an atypical CASE of right-sided empyema with , and leading to a diagnosis of spontaneous esophageal rupture. We concluded that pleural effusion with fungal and multi-organism growth should immediately raise suspicion for underlying missed esophageal perforation. Prompt diagnosis of esophageal perforation can prevent fatal complications like pleuritis, pneumothorax, hydrothorax, pneumomediastinum, mediastinitis, acute respiratory distress syndrome, and septic shock.
继发于食管破裂的右侧脓胸较为罕见，但在医学文献中有相关报道。我们描述了一例非典型的右侧脓胸病例，伴有……，最终诊断为自发性食管破裂。我们得出结论，胸腔积液伴有真菌和多种微生物生长应立即引起对潜在未发现的食管穿孔的怀疑。及时诊断食管穿孔可预防致命并发症，如胸膜炎、气胸、胸腔积液、纵隔气肿、纵隔炎、急性呼吸窘迫综合征和感染性休克。
