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Images in Clinical Medicine
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Volume 332:1481 June 1, 1995 Number 22
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Tension Pneumopericardium

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Figure 1A.




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Figure 1. Tension pneumopericardium, a rare complication of pyogenic lung abscess, occurred in a 27-year-old white man with the acquired immunodeficiency syndrome. Cultures of specimens obtained through a bronchoscopic sheath catheter had yielded Pseudomonas aeruginosa and Staphylococcus aureus. Despite antibiotic treatment, the patient had spontaneous rupture of the abscess into the pericardial sac and died from a tension pneumopericardium and cardiac tamponade. The chest x-ray film in Panel A shows cavitating pneumonia in the left mid-lung field, adjacent to the cardiac silhouette. In Panel B, another chest film, air under pressure is evident in the pericardial sac, with . . . [Full Text of this Article]

 

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