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An 86-year-old man was hospitalized for repeated episodes of septic shock due to methicillin-resistant Staphylococcus aureus (MRSA) pneumonia; he ultimately died of pseudomonal sepsis and pneumonia. In 1948, the patient had pulmonary tuberculosis and underwent extrapleural pneumonolysis (plombage) with polymethyl methacrylate (acrylic or Lucite) balls. The symptoms of pulmonary tuberculosis resolved after plombage, and the patient had no other serious infections until he was hospitalized for pneumonia 57 years later. Autopsy revealed that the balls used in plombage (3 to 4 cm in diameter) had become imbedded in fibrous tissue, with pleural calcification and moderate inflammatory changes that were consistent . . . [Full Text of this Article] |
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