Empyema associated with a cough-induced rib fracture

A 44-year-old man presented to the emergency department with fever and right anterior chest pain. He reported a persistent cough and the development of sudden-onset right anterior chest pain after coughing. The inspiratory pain in the right lung was severe, and therefore deep breathing was impossibl...

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Bibliographic Details
Published in:BMJ case reports 2021-05, Vol.14 (5), p.e242656
Main Authors: Hayano, Satoshi, Kashima, Masayuki
Format: Article
Language:English
Subjects:
Antibiotics
Asthma
Blood pressure
Body temperature
Case Report
Case reports
Chest tubes
Contusions
Dehydrogenases
Fractures
Heart rate
Osteoporosis
Pain
Patients
Pleural effusion
Pneumonia
Proteins
Rib cage
Risk factors
Trauma
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Summary:A 44-year-old man presented to the emergency department with fever and right anterior chest pain. He reported a persistent cough and the development of sudden-onset right anterior chest pain after coughing. The inspiratory pain in the right lung was severe, and therefore deep breathing was impossible. Chest CT revealed a fracture in the right seventh rib with consolidation and pleural effusion. A pleural fluid culture test result was positive for methicillin-susceptible Staphylococcus aureus. He was diagnosed with empyema associated with a cough-induced rib fracture. Thoracic drainage tube placement and intravenous antibiotic therapy successfully ameliorated his condition. He was discharged on day 13 and switched to an 8-week course of oral antibiotic therapy. There was no clinical relapse at the 6-month follow-up.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-242656