Yasoo Sugiura

1 Introduction Methicillin-resistant Staphylococcus aureus (MRSA) remains a challenging pathogen in pleural empyema. Current international guidelines, including those from the Infectious Diseases Society of America, American Thoracic Society and British Thoracic Society, consistently recommend a combination of effective anti-MRSA agents, such as vancomycin or linezolid and adequate pleural drainage [1, 2].

INTRODUCTION Small cell lung cancer often metastasizes to mediastinal lymph nodes, liver, bone, adrenal, and brain, but tracheal metastasis is rare.1 Here, we report a case of postoperative small cell lung cancer treated with radiation and durvalumab for tracheal metastasis. CASE REPORT A 73-year-old male presented with an abnormal chest shadow on chest radiography (Figure 1a). His medical history included diabetes (hemoglobin A1c was 8.9%), hyperlipidemia, and diabetic retinopathy.