A thirty six week gestation male baby weighing three kilogram was born to a twenty five year old mother by spontaneous vaginal delivery. At four hours of life, the baby developed respiratory distress with cyanosis and was admitted to the neonatal intensive care unit. There was clinical and radiological evidence of bilateral pleural effusion. Thoracentesis revealed a transudate. Repeated thorace...

Incidence Etiology and Pathogenesis Diagnostic Approaches Clinical Manifestations Imaging Techniques Diagnostic Thoracentesis Closed Pleural Biopsy Medical Thoracoscopy Bronchoscopy Surgical Biopsy Treatment Indications and Contraindications Therapeutic Thoracentesis Chemical Pleurodesis Doxycycline Bleomycin Talc Pleurodesis Talc Poudrage Talc Slurry Treatment of Pleurodesis Failure Other Trea...

hen evaluating a patient with hypoxia, dyspnea, or pleurisy, the differential diagnosis a clinician generates oftentimes includes ruling in or ruling out pneumothorax. Indeed, the clinical scenarios in which this diagnosis is important to consider are almost too numerous to list: a patient begins coughing just after a difficult attempt at central line placement; ventilator setting alarms start ...

CMAJ © 2010 Canadian Medical Association or its licensors 1 A72-year-old woman with a history of hypertension presented with progressive swelling of the right posterior chest wall that had been present for two days following a diagnostic thoracentesis. She had developed progressive dyspnea two weeks before presentation, and had been assessed elsewhere. A chest radiograph taken at that time had ...

Hepatic hydrothorax (HH) is a complication of decompensated liver cirrhosis that only occurs in about 5–6% patients, defined as pleural fluid the setting known disease, with absence any other cardiopulmonary etiology. Infected HH rare complication, designated spontaneous bacterial empyema (SBEM), found 13–16% patients HH. This case follows patient SBEM who developed recurrent effusion minutes a...