Rev Pneumol Clin
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A case of pulmonary Schistosoma mansoni bilharziasis observed in a female patient from Martinique is reported. In view of the unusual clinical and radiological features of the disease and of its rapidly worrying course, an open chest lung biopsy was performed which provided the diagnosis. A search for eggs in the stools was negative, and serological tests were weakly positive, treatment with Praziquantel resulted in rapid and complete cure.
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This study reports the experience of the medical centre of Villiers Saint-Denis, where about 40 cases of pyothorax with or without broncho-pleural fistula were seen between 1975 and 1981. The authors describe their method to drain and wash the pleural cavity. ⋯ With this method, the infection was eradicated in 90% of the cases, and the broncho-pleural fistula closed within about 4 months in 80% of the cases. This method is compared with other methods used to treat pyothorax.