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Case Reports

An Unusual Presentation of Spontaneous Pneumothorax Secondary to Talc-Induced Pulmonary Granulomatosis

^a Department of Cardiothoracic Surgery, Appalachian Regional Healthcare, Hazard, Kentucky
^b Department of Cardiothoracic Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana
^c Department of Cardiothoracic Surgery, Baptist Memorial Hospital, Memphis, Tennessee
^d Department of Cardiothoracic Surgery, The University of Tennessee HSC, Memphis, Tennessee

Accepted for publication November 3, 2008.

^_* Address correspondence to Dr Garrett, Jr., 6029 Walnut Grove Rd, Suite 401, Memphis, TN 38120 (Email: egarrettmd{at}cvsclinic.com).

Talc-induced pulmonary granulomatosis is an unusual condition resulting from the intravenous administration of medications intended for oral use. A patient with this condition who presented with a spontaneous tension pneumothorax is reported. Although the radiographic findings of a diffuse reticulonodular pattern are typical, this patient was found to have diffuse, small cavitary pulmonary nodules. Surgeons should be aware of this rare condition and should have a low threshold for performing a thoracoscopic lung biopsy.