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Eur J Cardiothorac Surg 2002;21:925
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Large chest wall abscess due to microaerophilic streptococcus

Noboru Nakano*, Katsutoshi Miyauchi, Hideaki Suzuki, Kanji Kawachi

Department of Surgery II, Ehime University School of Medicine, Shigenobu, Ehime 791-0295, Japan

Received 5 December 2001; received in revised form 24 January 2002; accepted 4 February 2002.

* Corresponding author. Tel.: +81-089-960-5331; fax: +81-089-960-5335
e-mail: nnakano{at}m.ehime-u.ac.jp

Key Words: Chest wall abscess • Microaerophilic streptococcus • Drainage

A 61-year-old man with fever and with an elastic-hard large right back tumor was admitted (Fig. 1) . T1-weighted magnetic resonance imaging showed a mass (Fig. 2) . Under ultrasonographic guidance, drainage revealed an abscess containing about 2000 ml of pus, from which microaerophilic streptococcus was isolated, and his fever promptly subsided.



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  		Fig. 1. A right back tumor, 25x20 cm in size, was elastic hard.

 


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  		Fig. 2. T1-weighted magnetic resonance imaging showed a right chest wall large mass divided somewhat by septum.

 




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