{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:29Z","timestamp":1756377629000,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,4]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>We present the case of a 38-year-old man, with congenital bullous emphysema, who presented with unilateral pleuritic chest pain, rigors and a non-productive cough. A chest X-ray on admission demonstrated extensive bilateral bullous lung disease with left-sided lung collapse. There were fluid levels present within several bullae, with the largest bulla compromising most of the posterior aspect of the left lung base. We suspected infected emphysematous bullae. Despite prolonged conservative management with antibiotics the patient deteriorated clinically, consistently spiking temperatures and desaturating. Repeat imaging demonstrated further accumulation of fluid in the largest bulla. A small bore chest drain was inserted into this bulla under ultrasound guidance, draining 550 mL of pulmonary fluid. The patient stabilised clinically and was discharged. He remained well after completing six\u2009weeks of intravenous antibiotics in the community.<\/jats:p>","DOI":"10.1136\/bcr-2020-240914","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T12:15:56Z","timestamp":1621599356000},"page":"e240914","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Percutaneous drainage of a fluid-containing emphysematous bulla"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3697-5400","authenticated-orcid":false,"given":"Andrew","family":"Read","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Homerton University Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Parry-Jones","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Homerton University Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-3085","authenticated-orcid":false,"given":"Angshu","family":"Bhowmik","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Homerton University Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"2025082803081153000_14.5.e240914.1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00158807"},{"key":"2025082803081153000_14.5.e240914.2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01372"},{"key":"2025082803081153000_14.5.e240914.3","doi-asserted-by":"crossref","first-page":"CCRep.S11187","DOI":"10.4137\/CCRep.S11187","article-title":"Spontaneous collapse of bilateral bullae with conservative management","volume":"6","author":"Shariff","year":"2013","journal-title":"Clin Med Insights Case Rep"},{"key":"2025082803081153000_14.5.e240914.4","doi-asserted-by":"crossref","first-page":"147","DOI":"10.2739\/kurumemedj.50.147","article-title":"Rapid-growth lung cancer associated with a pulmonary giant bulla: a case report","volume":"50","author":"Nakamura","year":"2003","journal-title":"Kurume Med J"},{"key":"2025082803081153000_14.5.e240914.5","doi-asserted-by":"publisher","DOI":"10.1177\/0218492316668998"},{"key":"2025082803081153000_14.5.e240914.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjms.2016.02.025","article-title":"Vanishing lung syndrome with air-fluid levels","volume":"352","author":"Ye","year":"2016","journal-title":"Am J Med Sci"},{"key":"2025082803081153000_14.5.e240914.7","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1007\/s00595-007-3474-z","article-title":"Infected giant bulla treated by percutaneous drainage followed later by resection: report of a case","volume":"37","author":"Hata","year":"2007","journal-title":"Surg Today"},{"key":"2025082803081153000_14.5.e240914.8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.111.6.1772"},{"key":"2025082803081153000_14.5.e240914.9","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4103\/0971-3026.59749","article-title":"Image-guided percutaneous drainage of an emphysematous bulla with a fluid level","volume":"20","author":"Kalra","year":"2010","journal-title":"Indian J Radiol Imaging"},{"key":"2025082803081153000_14.5.e240914.10","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1055\/s-2008-1039206","article-title":"Giant fluid-filled bulla treated by instillation of antibiotics after percutaneous drainage","volume":"58","author":"Chon","year":"2010","journal-title":"Thorac Cardiovasc Surg"},{"key":"2025082803081153000_14.5.e240914.11","doi-asserted-by":"crossref","first-page":"134","DOI":"10.5090\/kjtcs.2012.45.2.134","article-title":"Fluid-filled giant bulla treated with percutaneous drainage and talc sclerotherapy: a modified Brompton technique","volume":"45","author":"Lee","year":"2012","journal-title":"Korean J Thorac Cardiovasc Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240914","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:08:19Z","timestamp":1756375699000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,21]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2020-240914"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240914","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}