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- W3174811737 abstract "An 83-year-old man was taken to the emergency room (ER) because of fever, shortness of breath, swelling of the legs, weakness, confusion, and nausea. He had several comorbidities, including chronic kidney disease and a left fibrothorax with internal fluid collection caused by previous tuberculous pleurisy. The patient was found with acute respiratory failure, and auscultation revealed reduction of breath sounds in the left lower field, crackles in the right middle and basal fields, and widespread rales. Chest radiography showed large opacity in the left middle and lower areas and opacity in the right middle zone. Blood tests showed leukocytosis, marked increase in inflammation indices and volume overload, renal failure, hyperglycemia, and electrolyte imbalance. The patient received oxygen supplement, a loop diuretic, and broad-spectrum antibiotics, with dose adjustment for renal impairment. Urine output was 100 mL/24 hr, but the patient refused hemodialysis, thus peritoneal dialysis was initiated. The patient showed clinical improvement, the fever disappeared, oxygen saturation became sufficient without administration of oxygen, and the white blood cell count and inflammatory indices normalized. The diagnostic workup for active tuberculosis was negative. No invasive pleural procedures were needed. Chest imaging showed that the pulmonary opacities in the middle right and lower left areas had disappeared. Pulmonary opacity caused by the known left calcific fibrothorax was still clearly evident. This chapter deals with the causes, mechanisms, and imaging of fibrothorax. Strategies to prevent it and surgical treatment options are also addressed." @default.
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- W3174811737 date "2022-01-01" @default.
- W3174811737 modified "2023-09-27" @default.
- W3174811737 title "Pneumonia and Volume Overload Complicating Chronic Fibrothorax With Persistent Fluid Collection" @default.
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- W3174811737 doi "https://doi.org/10.1016/b978-0-323-79541-8.00012-6" @default.
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