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Right-Sided Pleural Effusion in a Critically Ill Stroke Patient
Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persisten...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528863/ https://www.ncbi.nlm.nih.gov/pubmed/26425594 http://dx.doi.org/10.1177/2324709614523258 |
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author | Bautista, Alexander Heine, Michael van Berkel, Victor Kelly-Frasher, Lydia Remmel, Kerri Akca, Ozan |
author_facet | Bautista, Alexander Heine, Michael van Berkel, Victor Kelly-Frasher, Lydia Remmel, Kerri Akca, Ozan |
author_sort | Bautista, Alexander |
collection | PubMed |
description | Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persistence of right-sided opacity in the chest radiograph. Further workup proved a right-sided pleural effusion, which was drained and managed. Following extubation, a swallow study was ordered, which led to a fluoroscopic examination that demonstrated esophageal perforation. Thoracic surgery was consulted and did a primary repair of perforation and noted non–small cell carcinoma on the perforated site. |
format | Online Article Text |
id | pubmed-4528863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-45288632015-09-30 Right-Sided Pleural Effusion in a Critically Ill Stroke Patient Bautista, Alexander Heine, Michael van Berkel, Victor Kelly-Frasher, Lydia Remmel, Kerri Akca, Ozan J Investig Med High Impact Case Rep Article Pleural fluid collections are common in those critically ill. We report the case of a left middle cerebral artery stroke patient who developed respiratory distress and required intubation and mechanical ventilation. Although the patient’s clinical status and oxygenation improved, there was persistence of right-sided opacity in the chest radiograph. Further workup proved a right-sided pleural effusion, which was drained and managed. Following extubation, a swallow study was ordered, which led to a fluoroscopic examination that demonstrated esophageal perforation. Thoracic surgery was consulted and did a primary repair of perforation and noted non–small cell carcinoma on the perforated site. SAGE Publications 2014-02-07 /pmc/articles/PMC4528863/ /pubmed/26425594 http://dx.doi.org/10.1177/2324709614523258 Text en © 2014 American Federation for Medical Research http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | Article Bautista, Alexander Heine, Michael van Berkel, Victor Kelly-Frasher, Lydia Remmel, Kerri Akca, Ozan Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title | Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title_full | Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title_fullStr | Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title_full_unstemmed | Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title_short | Right-Sided Pleural Effusion in a Critically Ill Stroke Patient |
title_sort | right-sided pleural effusion in a critically ill stroke patient |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528863/ https://www.ncbi.nlm.nih.gov/pubmed/26425594 http://dx.doi.org/10.1177/2324709614523258 |
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