VOLUME 37 | ISSUE 6 | NOVEMBER-DECEMBER 2017

Case Report Font size: Decrease font Enlarge font

Recurrence of malignant melanoma presenting as black-colored pyopneumothorax: a rare entity

Ganesh Patel,a Anil Saxena,b Suman Khangarot,b Rajendra Prasad Takhar,b Dinesh Patelc

From the aDepartment of Respiratory Medicine, Late Shri Lakhiram Agrawal Memorial Government, Medical College Raigarh, Chattisgarh, India; bDepartment of Respiratory Medicine, Government Medical College Kota, Rajasthan, India; cDepartment of Otorhinolaryngology, Late Shri Lakhiram Agrawal Memorial Government, Medical College Raigarh, Chattisgarh, India

How to cite this article:

Patel G, Saxena A, Khangarot S, Takhar RP, Patel D. Recurrence of malignant melanoma presenting as black-colored pyopneumothorax: a rare entity. Ann Saudi Med 2017; 37(6): 469-471.

DOI: 10.5144/0256-4947.2017.469

Abstract

We report a 63-year-old patient with black-colored pus (pyopneumothorax) resulting from an infected pleural effusion associated with metastatic malignant melanoma of the skin. The patient was also positive for Pseudomonas, so the color was unexpected. Although rare, malignant melanoma can present as a black pleural effusion due to the presence of melanocytes in the pleural fluid. Black pleural fluid should raise the suspicion of malignant melanoma. 

 

SIMILAR CASES PUBLISHED: Nine cases of black pleural effusion due to different causes have been reported.1,2  Three cases of black pleural effusion due to metastatic malignant melanoma are published.2,6,7 

 

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