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CJEM. 2016 Sep;18(5):391-4. doi: 10.1017/cem.2015.71. Epub 2015 Jul 27.

Simple Pneumonia or Something More?: A Case Report and Discussion of Unexpected Empyema Identified by Point-of-Care Ultrasound.

Author information

1
*University of Toronto,Toronto,ON.
2
†Sunnybrook Health Sciences Centre,Toronto,ON.

Abstract

There is evidence to suggest that point-of-care ultrasound assessment of the lungs has a higher sensitivity and specificity than chest radiography for the diagnosis of pneumonia. It is unknown if the same is true for pneumonia complications. We present and discuss the case of a 61-year-old woman who presented to the emergency department with confusion, decreased level of consciousness, and signs of sepsis. A chest x-ray revealed a right sided infiltrate. An ultrasound of the patient's lungs was performed, and revealed a complex loculated fluid collection consistent with an empyema. A chest CT confirmed the diagnosis, and immediate percutaneous drainage was performed.

KEYWORDS:

PoCUS; emphyema; lung ultrasound

PMID:
26212503
DOI:
10.1017/cem.2015.71
[Indexed for MEDLINE]

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