creators_name: Kumar, S creators_name: Sharath Babu, NM creators_name: Kaushik, M creators_name: Verma, BS creators_name: Kaushal, SS creators_id: docsatishkumar@gmail.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2013-05-04 23:04:18 lastmod: 2013-05-04 23:04:18 metadata_visibility: show title: Explosive Pleuritis ispublished: pub subjects: OJHAS full_text_status: public abstract: Pleural effusions associated with pneumonia (parapneumonic effusions) are one of the most common causes of exudative pleural effusions in the world. Approximately 20 to 40% of patients hospitalized with pneumonia will have an accompanying pleural effusion. The term 'Explosive pleuritis' was originally described by Braman and Donat in 1986 as pleural effusions developing within hours of admission. We report a 38 years old male patient with minimal pleural effusion which progressed rapidly within one day to involve almost whole of the hemithorax. There were multiple loculations on ultrasonography of thorax. Pleural fluid was sero-sanguinous and revealed gram positive diplococcic. The patient improved with antibiotics and pigtail catheter drainage. date: 2012-01-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 4(12) publisher: BS Kakkilaya refereed: TRUE referencetext: 1. Braman SS, Donat WE. Explosive pleuritis. Am J Med.1986;81:723-726. 2. Light RW. Pleural Diseases. Fifth Edition. Lippincott, Williams and Wilkins, Baltimore. 2007. 3. Sharma JK, Marrie TJ. Explosive pleuritis. Can J Infect Dis. 2001 Mar-Apr;12(2):104–107. 4. Maskell NA, Batt S, Hedley EL, Davies CW, Gillespie SH, Davies RJ. The bacteriology of pleural infection by genetic and standard methods and its mortality significance. Am. J Respir Crit Care Med. 2006;174:817-823 5. Foster S, Maskell N. Bacteriology of complicated parapneumonic effusions. Curr Opin Pulm Med.2007;13:319-323 6. Johnson JL. Pleurisy, Fever and rapidly progressive pleural effusion in a healthy 29 year old physician. Chest 2001;119;1266-1269. 7. Thomas DF, Glass JL, Baisch BF. Management of streptococcal empyema. Ann Thorac Surg 1966;2;658-664. 8. Maskell NA. U.K. Controlled Trial of Intrapleural Streptokinase for Pleural Infection. N Engl J Med 2005;352:865-874. 9. Maskell NA, Gleeson FV. Effect of intrapleural streptokinase on a loculated malignant pleural effusion. N Engl J Med 2003; 348:e4-e4. citation: Kumar, S and Sharath Babu, NM and Kaushik, M and Verma, BS and Kaushal, SS (2012) Explosive Pleuritis. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/8862/1/2011-4-12.pdf