[Pleural effusion in hereditary haemorrhagic telangiectasia: hemothorax or empyema?]. / Pleurésie dans le cadre d'une maladie de Rendu-Osler: hémothorax ou pyothorax?
Rev Mal Respir
; 29(1): 89-93, 2012 Jan.
Article
en Fr
| MEDLINE
| ID: mdl-22240227
ABSTRACT
INTRODUCTION:
In hereditary hemorrhagic telangiectasia the pulmonary arteriovenous malformations frequently lead to complications. In a case of pleural effusion in a patient with known pulmonary arterio-venous malformations, the first diagnosis to consider is a hemothorax even though alternatives such as empyema are possible. CASE REPORT We report the case of a 35-year-old woman with a known diagnosis of hereditary hemorrhagic telangiectasia with bilateral arteriovenous malformations, who was admitted to the emergency department with subacute dyspnoea and left thoracic pain. The clinical examination suggested a hemothorax. Pulmonary angiography was performed and showed an arteriovenous malformation in the left lower lobe. Embolisation was undertaken and at the same time a chest tube was inserted. Pus was evacuated leading to the final diagnosis of pleural empyema. Progress was good despite an episode acute respiratory distress due to a pulmonary embolism.CONCLUSION:
Pleural empyema is rarely described in the context of hereditary hemorrhagic telangiectasia with pulmonary arteriovenous malformations. In the case of pleural effusion this diagnosis should be considered even though hemothorax is more common.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Derrame Pleural
/
Telangiectasia Hemorrágica Hereditaria
/
Empiema Pleural
/
Hemotórax
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Fr
Revista:
Rev Mal Respir
Año:
2012
Tipo del documento:
Article
País de afiliación:
Francia