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December 25, 1926

Clinical Notes, Suggestions and New Instruments

JAMA. 1926;87(26):2162-2163. doi:10.1001/jama.1926.02680260030012

CHRONIC BILATERAL PLEURAL EFFUSION AND MEDIASTINITIS *  Will Howard Swan, M.D., and Leo Williams Bortree, M.D., Colorado SpringsBilateral pleural effusion, while a common incident in circulatory failure and an occasional concomitant of pulmonary tuberculosis, is a rare condition in chronic mediastinitis. It is on this account that we are reporting this case of chronic mediastinitis and bilateral pleural effusion of inflammatory origin, type not determined.A fairly exhaustive search of the literature has not disclosed a similar case on record. Cases of mediastinitis which have shown effusions have usually produced only small collections of fluid located largely in the posterior mediastinum or in the interlobar fissures.

REPORT OF CASE  A married woman, aged 35, referred to us by Dr. Walter Baumgarten of St. Louis, gave a negative family and personal history, stating that she had always been well up to February, 1922, when she developed an acute respiratory infection which