{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:43:31Z","timestamp":1756385011275,"version":"3.44.0"},"reference-count":2,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 28-year-old Gurkha soldier presented with signs of severe chest sepsis and respiratory distress. High-flow oxygen, broad-spectrum intravenous antibiotics and intravenous fluids were started immediately. Bedside thoracic ultrasound demonstrated a moderate right pleural effusion suggestive of an empyema. A pleural aspirate was borderline for pleural infection, therefore, a chest drain was inserted and the patient was transferred to high dependency. Within 48\u2005h the patient clinically improved. Three weeks later, a persistently raised C reactive protein and indeterminate right lower lobe radiographic changes was observed. Video-assisted thorascopic surgery was subsequently performed. Although technically difficult, a large amount of pus was drained from the pleural cavity. The patient was discharged, returning to normal army duties 8\u2005weeks later. Follow-up chest radiographs showed complete resolution of the empyema and no evidence of scarring. The CRP normalised to &lt;1.<\/jats:p>","DOI":"10.1136\/bcr-2013-008700","type":"journal-article","created":{"date-parts":[[2013,4,19]],"date-time":"2013-04-19T00:43:08Z","timestamp":1366332188000},"page":"bcr2013008700","source":"Crossref","is-referenced-by-count":1,"title":["Pleural infection: a case where clinical improvement was misleading"],"prefix":"10.1136","volume":"2013","author":[{"given":"Justin","family":"Gould","sequence":"first","affiliation":[{"name":"Department of General Medicine, Maidstone & Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,18]]},"reference":[{"issue":"Suppl 2","key":"2025082805155142000_2013.apr18_1.bcr2013008700.1","first-page":"ii41","article-title":"Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010","volume":"2013","author":"Davies","year":"2010","journal-title":"Thorax"},{"key":"2025082805155142000_2013.apr18_1.bcr2013008700.2","first-page":"117220","article-title":"Empyema thoracics: new insights into an old disease","volume":"2013","author":"Brims","year":"2010","journal-title":"Eur Respir Rev"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008700","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:15:57Z","timestamp":1756383357000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,18]]},"references-count":2,"alternative-id":["10.1136\/bcr-2013-008700"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008700","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,4,18]]}}}