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1 results

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

  • Michael Romano, Tomislav Jelic, Jordan Chenkin
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 18 / Issue 5 / September 2016
    Published online by Cambridge University Press:
    27 July 2015, pp. 391-394
    Print publication:
    September 2016
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  • 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.