{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:16:22Z","timestamp":1792660582869,"version":"4.5.0"},"reference-count":0,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Infectious Diseases and Medical Microbiology"],"published-print":{"date-parts":[[2001,1]]},"abstract":"<jats:p>The objective of the present paper is to describe the   clinical and computed tomography features of \u2032explosive   pleuritis\u2032, an entity first named by Braman and Donat   in 1986, and to propose a case definition. A case report   of a previously healthy, 45\u2010year\u2010old man admitted to   hospital with acute onset pleuritic chest pain is presented.   The patient arrived at the emergency room at 15:00 in   mild respiratory distress; the initial chest x\u2010ray revealed   a small right lower lobe effusion. The subsequent clinical   course in hospital was dramatic. Within 18 h of admission,   he developed severe respiratory distress with oxygen   desaturation to 83% on room air and dullness of the   right lung field. A repeat chest x\u2010ray, taken the morning   after admission, revealed complete opacification of   the right hemithorax. A computed tomography scan of   the thorax demonstrated a massive pleural effusion with   compression of pulmonary tissue and mediastinal shift.   Pleural fluid biochemical analysis revealed the following   concentrations: glucose 3.5 mmol\/L, lactate dehydrogenase   1550 U\/L, protein 56.98 g\/L, amylase 68 U\/L and white   blood cell count 600 cells\/mL. The pleural fluid cultures   demonstrated light growth of coagulase\u2010negative staphylococcus   and viridans streptococcus, and very light growth of   <jats:italic>Candida albicans<\/jats:italic>. Cytology was negative for malignant   cells. Thoracotomy was performed, which demonstrated   a loculated parapneumonic effusion that required decortication.   The patient responded favourably to the empirical administration   of intravenous levofloxacin and ceftriaxone, and conservative   surgical methods in the management of the empyema. This   report also discusses the patient\u2032s rapidly progressing   pleural effusion and offers a potential case definition   for explosive pleuritis. Explosive pleuritis is a medical   emergency defined by the rapid development of a pleural   effusion involving more than 90% of the hemithorax over   24 h, which causes compression of pulmonary tissue and   mediastinal shift to the contralateral side.<\/jats:p>","DOI":"10.1155\/2001\/656097","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T08:01:54Z","timestamp":1458028914000},"page":"104-107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Explosive Pleuritis"],"prefix":"10.1155","volume":"12","author":[{"given":"Jasdeep K","family":"Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J","family":"Marrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2001,4]]},"container-title":["Canadian Journal of Infectious Diseases and Medical Microbiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjidmm\/2001\/656097.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2001\/656097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T09:49:31Z","timestamp":1722332971000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2001\/656097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,1]]}},"alternative-id":["10.1155\/2001\/656097"],"URL":"https:\/\/doi.org\/10.1155\/2001\/656097","archive":["Portico"],"relation":{},"ISSN":["1712-9532","1918-1493"],"issn-type":[{"value":"1712-9532","type":"print"},{"value":"1918-1493","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,1]]},"assertion":[{"value":"1999-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-04-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2001-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}