Publication:
Empyema Thoracis in a Patient Admitted with COVID-19: A Case Report Authors

Date

2021

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Nepal Medical Association

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Abstract

Abstract: After almost a year of declaring COVID-19 a global pandemic, unusual presentations of the disease continue to be reported. Very little is known about its association with pleural disease. Here, we present a case of empyema thoracis in a 39-year-old male admitted with COVID-19. The pleural fluid later turned serosanguinous and eventually bleeding from other sites also occurred. During his treatment, antibiotics were given, thoracocentesis was performed and later thoracotomy was done. He died on the 19th day of admission following a hemorrhagic stroke. Pleural disease, although considered atypical and unusual presentation of COVID-19, needs careful and prompt diagnosis and earliest intervention. COVID-19, being a disease that involves multiple systems, and presentation of the disease may eventually lead to circulatory dysfunction and hence should be kept under consideration.

Description

Angela Basnet Department of Internal Medicine, Scheer Memorial Adventist Hospital, Banepa, Kavrepalanchok, Nepal https://orcid.org/0000-0002-0760-6510 Sabin Chaulagain Department of Internal Medicine, Scheer Memorial Adventist Hospital, Banepa, Kavrepalanchok, Nepal https://orcid.org/0000-0003-3133-9640 Ashok Thapa Department of Internal Medicine, Scheer Memorial Adventist Hospital, Banepa, Kavrepalanchok, Nepal Manita Khadka Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal https://orcid.org/0000-0001-9263-2598 Manoj Khadka Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal https://orcid.org/0000-0002-0449-9254 Dhan Bahadur Shrestha Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA https://orcid.org/0000-0002-8121-083X

Keywords

COVID-19, empyema, pleural

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