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- W2188062346 abstract "CASE REPORT A 52-year-old woman with a history of Hodgkin’s lymphoma, prior splenectomy, and breast cancer was experiencing recurrent pleural effusions over several months prior to admission and presented with bloody drainage from an indwelling pleural catheter. The patient had been diagnosed with Hodgkin’s lymphoma 35 years earlier and was treated with radiation therapy to the neck, chest, and abdomen at that time. She underwent a splenectomy for a splenic artery aneurysm 14 years prior to presentation. Five years prior to presentation, she had cardiac surgery for radiation-induced valvular disease, with placement of a St. Jude’s mechanical prosthetic valve at the aortic position and repair of mitral and tricuspid valves with biological prosthetic material; a cardiac pacemaker for a heart block was placed. Four years prior to presentation, she had undergone bilateral mastectomies for breast cancer and was subsequently treated with tamoxifen and then anastrozole. Six months prior to presentation, she developed bilateral pleural effusions. The pleural fluid sampled on two occasions was consistent with exudative effusions, with slight lymphocyte predominance and negative Gram stains and cultures, including mycobacterial culture; cytology for malignant cells was negative. Based on these studies, the etiology of the pleural disease was unclear but was thought to be a late complication of her radiation therapy 35 years previously. Bilateral indwelling pleural catheters were placed, and the left-sided catheter was later removed when drainage ceased. In the weeks prior to the most recent presentation, the patient initiated systemic anticoagulation therapy for atrial fibrillation. She subsequently developed bloody drainage from the remaining right-sided indwelling pleural catheter, at which time she was admitted for further" @default.
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- W2188062346 date "2011-01-01" @default.
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- W2188062346 title "CASE REPORTS Gordonia bronchialis Bacteremia and Pleural Infection: Case Report and Review of the Literature" @default.
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