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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2014-02-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/2324709614523258 |
| _version_ | 1828312636933013504 |
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| author | Alexander Bautista MD Michael Heine MD Victor van Berkel MD, Ph.D. Lydia Kelly-Frasher MS, CCC-SLP Kerri Remmel MD Ozan Akca MD, FCCM |
| author_facet | Alexander Bautista MD Michael Heine MD Victor van Berkel MD, Ph.D. Lydia Kelly-Frasher MS, CCC-SLP Kerri Remmel MD Ozan Akca MD, FCCM |
| author_sort | Alexander Bautista MD |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-13T16:19:14Z |
| format | Article |
| id | doaj.art-bd8daa4b4565472fa34fdeaf8ba4980f |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-04-13T16:19:14Z |
| publishDate | 2014-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-bd8daa4b4565472fa34fdeaf8ba4980f2022-12-22T02:39:59ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962014-02-01210.1177/232470961452325810.1177_2324709614523258Right-Sided Pleural Effusion in a Critically Ill Stroke PatientAlexander Bautista MD0Michael Heine MD1Victor van Berkel MD, Ph.D.2Lydia Kelly-Frasher MS, CCC-SLP3Kerri Remmel MD4Ozan Akca MD, FCCM5University of Louisville, Louisville, KY, USAUniversity of Louisville, Louisville, KY, USAUniversity of Louisville, Louisville, KY, USAUniversity of Louisville, Louisville, KY, USAUniversity of Louisville, Louisville, KY, USAUniversity of Louisville, Louisville, KY, USAPleural 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.https://doi.org/10.1177/2324709614523258 |
| spellingShingle | Alexander Bautista MD Michael Heine MD Victor van Berkel MD, Ph.D. Lydia Kelly-Frasher MS, CCC-SLP Kerri Remmel MD Ozan Akca MD, FCCM Right-Sided Pleural Effusion in a Critically Ill Stroke Patient Journal of Investigative Medicine High Impact Case Reports |
| 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 |
| url | https://doi.org/10.1177/2324709614523258 |
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