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Pleural infection 

Pleural infection
Chapter:
Pleural infection
DOI:
10.1093/med/9780199202447.003.0025
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date: 17 October 2019

Introduction 154

Definitions 154

Pathophysiology 154

Acute presentation 155

Investigations 155

Management 158

A pleural effusion occurs in up to 40% of cases of pneumonia. The majority of these will resolve with treatment of the pneumonia, but a subset will undergo bacterial invasion and subsequent infection will be established. This condition has a high mortality (20%) and morbidity, with 20% of cases requiring invasive thoracic surgery. Early recognition and prompt treatment is important to prevent progression to disease only amenable to surgical treatment....

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