"Burgundy wine" pleural effusion: An unusual manifestation of acute bacterial empyema. Issue 2 (23rd February 2022)

• Record Type: Journal Article
• Authors: Kuwahara, Daichi; Okazaki, Akihito
• Is Part Of: Clinical case reports. Volume 10:Issue 2(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-02-23
• Subjects: bloody appearance -- empyema -- pleural effusion; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.5486
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: Although empyema diagnosis by thoracentesis is relatively straightforward, the pleural effusion can sometimes be bloody rather than purulent. We report a case of acute empyema with a dark‐red bloody effusion, wherein multiple anaerobic bacteria were detected. Chest imaging findings improved with pleural drainage, intrapleural fibrinolytic therapy, and intravenous antibiotic treatment. Abstract : This image report presents a case of acute bacterial empyema with a dark‐red "Burgundy wine" pleural effusion. In cases of empyema secondary to lung abscess accompanied by internal bleeding, the pleural effusion may be bloody rather than purulent.