• Am. J. Med. Sci. · Jul 2022

    Review Case Reports

    An Unusual Case of Explosive Pleuritis without Mediastinal Shift.

    • Biplab K Saha, Hau Chieng, and Woon H Chong.
    • Department of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, MO, USA. Electronic address: spanophiliac@yahoo.com.
    • Am. J. Med. Sci. 2022 Jul 1; 364 (1): 92-98.

    AbstractExplosive pleuritis (EP) is an under-reported condition. Although there is no agreed-upon definition, generally, the term EP denotes a dramatic clinical and radiologic progression of pleural space inflammation in the setting of pneumonia. The pleural space inflammation leads to the formation of loculated complex pleural effusion or empyema, and pleural adhesion within a matter of hours, typically in less than 24 hours. Radiologically, these changes are manifested as opacification of the hemithorax with or without contralateral mediastinal shift. Streptococcal pneumonia is the most common cause of EP. Here we present a case and discuss the clinical, microbiologic, radiologic, and treatment aspects of EP. We also scrutinize the medical literature to compare the previously reported cases.Copyright © 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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