Presenting complaint
and history
On 6 October 1992, a 10 year-old male presented after two
convulsions the previous day and a discharging sinus in left
chest.
He was admitted on 10 august 1992 complaining of fever with
chill, left sided chest pain on coughing and on mild exertion,
cough dyspnoea and loss of appetite for 15 days. After clinical
examination and full investigation the case was diagnosed as
collapsed lung with tubercular empyema Anti tubercular treatment
(ATT) was started with broad-spectrum antibiotics and regular
drainage of the pleural cavity (fig1) but the condition
deteriorated (fig 2)
Dated: 11 Aug. 1992 See the intercostal drainage tube in place.
Dated: 23 Aug. 1992. Tense pyothorax on removing the intercostal
tube.
Both x-rays (fig.1 and fig.2) are taken while patient was under
care of modern system of medicine.
After few days of ATT, jaundice appeared and this was followed
by the convulsions. He was referred to the cardiothoracic
surgeon for decortication, but the surgeon decided not to
operate because he had not responded to the ATT.
At this stage his parents decided to discontinue the ATT and
asked for homeopathy.
After evaluating the history it was obvious the convulsions
arose as a complication of ATT and untreated empyema.
I started the homeopathic treatment with few doses of phos 30.
He had no more convulsions since first dose of homeopathy.
This case improved
gradually and gets cured within six months. Till date he has no
problem
.
Dated. 5 Dec.1992.
Re-expansion had
started after one month of homeopathic treatment.
Dated: 8 Feb.1993.
Re-expansion of
collapsed lung was in progress. Sinus had healed.
Dated: 1 April 1993.
See the gradual
non-stop re-expansion of lung. Pleura had become thick and
fibrosed.
Dated: 6 Jan. 1994.
Again there is a
process of resolution of fibrosed pleura is visible.
Dated: 6 July 1994.
Follow
-up normal x-ray
Discussion:
Pus in long standing Empyema becomes organized and fibrosed leads to
immobilization
of the affected side of lung. As per Medical Literature Fibrosis can not
be reverted but it is not so in this case.
Fibrosed and thickened pleura ultimately gets normal in its shape.
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