Masroor I, Hashmi R.
View Box Case - 5.
J Pak Med Assoc Jan ;52(5):230-1.

A 22 years old male presented with complaints of high grade fever for one month and breathlessness for one week. On examination his temperature was 102°F. He was tachypnic and there was reduced air entry in left hemithorax. Leukocyte count and E.S.R. were elevated. An Xray chest showed a 13.5x8.5cm oval shape cavity in left hemithorax with an air-fluid level (Figure). On computed tomography the cavity had thick wall, the inner wall was irregular. Under ultrasound guidance, a chest tube was put in and thick pus was drained. Patient was given intravenous antibiotics followed by oral antibiotics. The chest tube was removed following complete drainage of abscess. Patient recovered completely. Diagnosis: Pyogenic lung abscess.

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