{"pk":6590,"title":"Tension Pyopneumothorax in an Immunocompetent Adolescent: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction: </strong>Tension pyopneumothorax is a rare, life-threatening condition that occurs as a complication of intrathoracic infection or bronchopleural fistula. In the few cases reported in the literature, the patients typically have multiple comorbidities, underlying lung disease, and/or an immunocompromised state.</p>\n<p><strong>Case Report:</strong> This case describes tension pyopneumothorax in a previously healthy adolescent male with no existing risk factors for this disease. After emergent stabilization and admission, surgical exploration of the chest revealed no fistulas or pleural defects. Extensive workup did not show any underlying risk factors for development of this condition.</p>\n<p><strong>Conclusion: </strong>This case of pyopneumothorax with progression to tension physiology is exceedingly rare. Uniquely, the patient had no underlying medical or anatomical predisposition to developing this condition. The case also emphasizes pediatric patients’ capacity to compensate in the setting of critical illness. </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":"Tension pyopneumothorax"},{"word":"empyema"},{"word":"thoracostomy"},{"word":"case report"},{"word":"pediatrics"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vv40482","frozenauthors":[{"first_name":"Elizabeth","middle_name":"","last_name":"May-Smith","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""},{"first_name":"Marc","middle_name":"","last_name":"Olshan","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""},{"first_name":"Mark","middle_name":"","last_name":"Supino","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""}],"date_submitted":"2023-11-28T14:13:34.626000-08:00","date_accepted":"2024-04-08T12:39:46.729000-07:00","date_published":"2024-07-18T06:00:00-07:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/22135/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/10908/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/22135/download/"}]}