Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 19426,
    "title": "Community-Acquired <em>Candida albicans</em> Empyema Leading to Tension Physiology: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> A tension empyema, in which purulent material accumulates in the chest cavity and leads to cardiopulmonary dysfunction, is a rare complication of empyemas. Moreover, fungal empyemas that grow Candida albicans and cause tension physiology have not yet been previously described.</p>\n<p><strong>Case Report: </strong>In this report, we present an immunocompetent 30-year-old male who presented to the emergency department with worsening shortness of breath and was found to have a left-sided fungal empyema causing tension physiology. Left chest thoracostomy yielded approximately 4 liters of purulent fluid. Pleural cultures eventually grew C albicans, and after antifungal therapy, surgical decortication of the lung, and a prolonged intensive care unit stay, the patient was discharged home in stable condition.</p>\n<p><strong>Conclusion: </strong>While mortality from C albicans empyemas that cause respiratory compromise is exceedingly high, our case highlights that aggressive management with rapid chest thoracostomy and antifungal therapy can lead to a favorable outcome.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "empyema thoracis"
        },
        {
            "word": "tension empyema"
        },
        {
            "word": "candida albicans"
        },
        {
            "word": "severe hyponatremia"
        },
        {
            "word": "thoracic empyema"
        },
        {
            "word": "tension pyothorax"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2s56n2c8",
    "frozenauthors": [
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "Cinti",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": ""
        },
        {
            "first_name": "Paula",
            "middle_name": "",
            "last_name": "Gomez",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Suneil",
            "middle_name": "",
            "last_name": "Agrawal",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "Emergency Medicine"
        }
    ],
    "date_submitted": "2024-02-11T03:56:21.882000Z",
    "date_accepted": "2024-04-15T20:30:34.582000Z",
    "date_published": "2024-08-01T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/24594/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/10909/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/24594/download/"
        }
    ]
}