A 34-Year-Old Man With a Chylothorax and Bony Pain

Chest. 2020 Apr;157(4):e131-e136. doi: 10.1016/j.chest.2019.10.033.

Abstract

A 34-year-old man presented to a community hospital with sudden-onset pleuritic chest pain on a background of a 12-month indolent history of progressive exertional dyspnea. He denied cough, fevers, night sweats, or weight loss. He reported some low back pain and ache. He had a history of gastroesophageal reflux and was a current smoker with a 20-pack year history. There were no known occupational or environmental exposures and there was no family history of any lung disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibiotics, Antineoplastic / administration & dosage
  • Biopsy
  • Bone and Bones* / diagnostic imaging
  • Bone and Bones* / pathology
  • Chest Pain / diagnosis
  • Chest Pain / etiology
  • Chylothorax* / diagnosis
  • Chylothorax* / etiology
  • Chylothorax* / physiopathology
  • Diagnosis, Differential
  • Humans
  • Immunohistochemistry
  • Lung Diseases / complications
  • Lung Diseases / congenital*
  • Lung Diseases / diagnosis
  • Lung Diseases / physiopathology
  • Lung Diseases / therapy
  • Lymphangiectasis / complications
  • Lymphangiectasis / congenital*
  • Lymphangiectasis / diagnosis
  • Lymphangiectasis / physiopathology
  • Lymphangiectasis / therapy
  • Male
  • Musculoskeletal Pain* / diagnosis
  • Musculoskeletal Pain* / etiology
  • Pleura* / diagnostic imaging
  • Pleura* / pathology
  • Pleural Effusion* / diagnosis
  • Pleural Effusion* / etiology
  • Sirolimus / administration & dosage*
  • Thoracentesis / methods*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Antibiotics, Antineoplastic
  • Sirolimus

Supplementary concepts

  • Lymphangiectasia, pulmonary, congenital