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Pulmonary empyema
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Pulmonary empyema

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Contributors: Michael W. Winter MD, Benjamin L. Mazer MD, MBA
Other Resources UpToDate PubMed

Synopsis

A collection of pus inside the pleural space. Patients will appear ill, rarely toxic. Signs and symptoms include fever, chest pain, cough, diaphoresis, chills, dyspnea, purulent sputum, anorexia, weight loss, tachycardia, pleurisy, decreased breath sounds, and friction rub. It may present as a skin mass, which may ulcerate. Caused by bacterial infection, commonly pneumonia. May also occur as a result of tuberculosis, lung abscess, chest injury, chest surgery, or a procedure such as thoracocentesis. Diagnosis is made by x-ray, MRI, or CT. Surgical intervention may be required.

Codes

ICD10CM:
J86.9 – Pyothorax without fistula

SNOMEDCT:
312682007 – Empyema

Differential Diagnosis & Pitfalls

Best Tests

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References

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Last Updated: 02/23/2017
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Pulmonary empyema
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Pulmonary empyema : Cough, Fever, Malaise, Pleuritic chest pain, Anorexia, Dyspnea, Decreased breath sounds, WBC elevated, PLT increased, Increased respiratory rate
Copyright © 2019 VisualDx®. All rights reserved.