RESUMO
We present a patient with emphysema and a right-sided pneumothorax in whom a chest tube was inadvertently positioned in the lower portion of the right major fissure. The tube migrated across the midsaggital plane, resulting in left shoulder pain with elevation of the left hemidiaphragm. Malfunctioning of the tube did not result, and following its removal the diaphragm returned to its original position.
Assuntos
Cateterismo/efeitos adversos , Corpos Estranhos/complicações , Migração de Corpo Estranho/complicações , Dor/etiologia , Pneumotórax/cirurgia , Ombro , Idoso , Diafragma/diagnóstico por imagem , Migração de Corpo Estranho/diagnóstico por imagem , Humanos , Masculino , Pneumotórax/diagnóstico por imagem , Pneumotórax/etiologia , Complicações Pós-Operatórias , Enfisema Pulmonar/complicações , Radiografia TorácicaRESUMO
A diabetic patient with pneumonia of unspecified origin developed a lung abscess after therapy with ultrasonic nebulization. The etiologic organism was identified as Pseudomonas cepacia. Investigation determined the source of the organism to be the reservoir of the ultrasonic nebulizer, to which the patient was directly exposed through removal of the bottom of the disposable medication cup. When this organism is isolated a nosocomial source of infection should be suspected.