Lee An-Fu, Lee Hong-Wei, Yen Zui-Shen
Department of Emergency Medicine, Yun-Lin Branch, National Taiwan University Hospital, Douliu City, Taiwan.
Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan S. Road, Taipei, Taiwan.
Int J Emerg Med. 2024 Feb 28;17(1):29. doi: 10.1186/s12245-024-00603-7.
Empyema is uncommon owing to antibiotic use but still affects patient health if not treated. Hiccups as the initial symptom of empyema are rare; however, empyema should be considered if a patient has persistent hiccups with unexplained fever.
We present a case of persistent hiccups, left upper quadrant abdominal pain, and fever on day 1, and total left lung white-out and empyema on day 3. The hiccups resolved gradually after antibiotic treatment and surgical decortication.
Clinicians should consider the possibility of empyema and conduct a chest computed tomography study if unexplained fever and persistent hiccups coexist.
由于抗生素的使用，脓胸并不常见，但如果不进行治疗，仍会影响患者健康。以打嗝作为脓胸的初始症状较为罕见；然而，如果患者持续打嗝并伴有不明原因的发热，则应考虑脓胸的可能。
我们报告一例患者，第1天出现持续打嗝、左上腹疼痛和发热，第3天出现左肺完全变白和脓胸。经抗生素治疗和手术剥脱后，打嗝逐渐缓解。
如果不明原因发热和持续打嗝同时存在，临床医生应考虑脓胸的可能性，并进行胸部计算机断层扫描检查。
