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Online coloring for adults by number. Mycoplasma and viruses are responsible for 20 of pleural complications though 70 of such conditions are the. Refractory empyema occasionally reflects hidden malignant disease. 1department of respiratory medicine the university of tokyo hospital bunkyo ku tokyo japan.
Physicians should be aware of mpm when patients with empyema are refractory. An infection of the pleural fluid is called empyema. Malignant mesothelioma associated with chronic empyema with elevation of serum cyfra19.
We presented a rare case of rapidly progressive malignant mesothelioma of the pleura mpm mimicking empyema. After exposure to asbestos inhaled asbestos fibers can reach the pleura causing swelling and inflammation. Physicians should be aware of mpm when patients with empyema are refractory to the standard treatment and pet ct may be helpful in establishing a precise diagnosis in such cases.
Kodama y1 hoshi s minami m kiso m takezawa t arai t to y teshima s suzuki n. Pleural effusions are caused by many reasons but they commonly accompany asbestos related illnesses such as mesothelioma lung cancer and asbestosis.
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