Rare and Rapid: A Case of Explosive Pleuritis

Infected Hemodialysis Arteriovenous Fistula with Distant Explosive Pleuritis: A Rare Phenomenon

“…The 38-year-old patient had a recent history of pharyngitis secondary to GAS, while the 47-year-old patient had bibasilar infiltrates on imaging, with Streptococcus intermedius identified as the causative bacterium [ 8 , 11 ]. Upon further review of the literature, we identified more case reports, and all the patients developed explosive pleuritis after respiratory tract infections [ 12 – 17 ].…”

“…The pathogens identified in the reviewed case reports ranged from GAS, coagulase-negative Staphylococcus , Streptococcus viridans , and Candida albicans , to no identifiable organism in 1 case report [ 12 – 17 ]. The patients were treated with various antibiotics, including penicillins, cephalosporins, quinolones, macrolides, clindamycin, linezolid, vancomycin, and metronidazole [ 7 , 8 , 10 – 17 ]. Chest tubes were placed in all the patients to drain the effusions [ 7 , 8 , 10 – 17 ].…”

“…The patients were treated with various antibiotics, including penicillins, cephalosporins, quinolones, macrolides, clindamycin, linezolid, vancomycin, and metronidazole [ 7 , 8 , 10 – 17 ]. Chest tubes were placed in all the patients to drain the effusions [ 7 , 8 , 10 – 17 ]. Additionally, other treatment modalities like thoracoscopy with decortication, thoracotomy with decortication, and intrapleural administration of fibrinolytic agents (streptokinase and urokinase) and DNAse were employed in some of the cases [ 7 , 8 , 10 – 14 , 17 ].…”

“…Chest tubes were placed in all the patients to drain the effusions [ 7 , 8 , 10 – 17 ]. Additionally, other treatment modalities like thoracoscopy with decortication, thoracotomy with decortication, and intrapleural administration of fibrinolytic agents (streptokinase and urokinase) and DNAse were employed in some of the cases [ 7 , 8 , 10 – 14 , 17 ]. Table 1 is a summary of each reviewed article.…”