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This report describes a patient who developed transient pleuritic chest pain, fever, wound induration, and a sterile pleural effusion eight days after thoracotomy. Thoracentesis yielded sterile fluid which contained many mononuclear leukocytes and many starch granules. Control pleural fluid from asymptomatic postthoracotomy patients did not contain starch. These circumstances are precisely analogous to those in starch peritonitis. We suggest that this patient's symptoms were due to starch pleuritis.
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- Granulomas and peritonitis due to glove starch powder.Arch. Pathol. 1971; 91: 559
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- Management of starch peritonitis without the unnecessary second operation.Surgery. 1973; 73: 681
Accepted: November 16, 1973
© 1974 Published by Elsevier Inc.