P. Srivastava et al., Fatal haemorrhage from aortic dissection following instillation of intrapleural streptokinase, SCOT MED J, 45(3), 2000, pp. 86-87
A patient is described who suffered fatal haemorrhage following intrapleura
l streptokinase for treatment of a presumed empyema. Autopsy revealed an un
suspected abdominal aortic dissection with extension of blood clot into the
thoracic cavity. The importance of precise diagnosis of empyema and potent
ial risks associated with intrapleural streptokinase are discussed.