We present a 37-year-old man intravenous drug user, with HIV/HCV/HBV co-infection, lymph node tuberculosis 10 years before (completed 12 months of treatment), and left lobar pneumonia 4 years earlier complicated by empyema (treated with left lower lobectomy with a persistent bronchopleural fistula) who was admitted to the emergency department with caseous-purulent drainage and exteriorization o...

Evaluation for pneumothorax is an important indication for obtaining chest radiographs in patients who have had trauma, recent cardiothoracic surgery or are on ventilator support. By definition, a persistent pneumothorax constitutes ongoing bubbling of air from an in situ chest drain, 48 h after its insertion. Persistent pneumothorax remains a diagnostic dilemma and identification of potentiall...

Muscle flap transposition is one of the surgical treatment options for empyema with alveolarpleural fistula (APF) or bronchopleural fistula (BPF). This surgical procedure is invasive because it is typically performed by standard thoracotomy. We performed video-assisted thoracoscopic surgery (VATS) debridement, decortication, and obliteration of an empyema cavity using a pedicled latissimus dors...

To cite: Díaz-Correa LM, de León-Tellado N, Ríos G, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205145 DESCRIPTION Granulomatosis with polyangiitis (GPA) usually involves the upper and/or lower respiratory tracts. Pulmonary manifestations include nodules, pleuritis, fixed infiltrates and alveolar haemorrhage. Bronchopleural fistulas have been report...

The results of 25 cases underwent a pedicled pericardial flap coverage for the bronchial stump after lobectomy or pneumonectomy were compared with those of 25 patients who received no coverage for the bronchial stump. Operative and perioperative complications were recorded, and patients were followed up for a mean of 30 ± 15 days. The analysis revealed that the routine coverage of the bronchial...

The authors have no conflicts of interest to disclose. Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal. org/misc/reprints.shtml). Correspondence to: Bekele Afessa, MD, FCCP, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN...

OBJECTIVE The aim of this paper is to review the subject and to report on and discuss a case of bronchopleural cutaneous fistula due to Eikenella corrodens. DESCRIPTION A 16-year-old girl was brought to our hospital with fever and blood-tinged sputum 2 weeks prior to her admission. She suffered from neurologic sequelae of herpetic encephalitis and had been bed-ridden since 5 years of age. A l...