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November 10, 1975

Posttraumatic Pleural-Fluid and Blood Eosinophilia

Author Affiliations

From the Pulmonary Section, Veterans Hospital, Milwaukee, and the Medical College of Wisconsin, Milwaukee (Drs Kumar, Varkey, Mathai).

JAMA. 1975;234(6):625-626. doi:10.1001/jama.1975.03260190053026

THE FIRST case, to our knowledge, of simultaneous pleural-fluid and blood eosinophilia following chest trauma was recently reported by Beekman et al.1 We report a similar case.

Report of a Case  A 68-year-old man fell and injured the left side of his chest. Six weeks later he was admitted to the Veterans Hospital, Wood, because of persistent chest pain unrelieved by a combination of aspirin and caffeine (Anacin). Past medical history was unremarkable except for a diagnosis of pharyngoesophageal (Zenker) diverticulum. He had no history of pleurisy or allergies and had been well before the accident.On examination he was afebrile, but there was swelling and tenderness over the lateral aspect of the left lower chest. Dullness on percussion and diminished breath sounds were noted in the left infrascapular and infra-axillary areas. Chest roentgenogram (Figure) showed blunting of the left costophrenic angle, and decubitus film confirmed the presence of