https://www.vetsurgeon.org/f/clinical-questions/24382/pneumothorax-and-ongoing-lethargy-pyrexia-in-a-lurcher Hi was wondering if anyone has any ideas of the case below that presented to me last week. 2 year old MN lurcher cross presented 5 days previously with history of fall down into ditch 24hours prior to presentation and since then become very lethargicen-USTelligent Community 10https://www.vetsurgeon.org/thread/159468?ContentTypeID=1Wed, 08 Jun 2016 16:15:28 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:5cc306d7-199e-4548-8e7d-376a05dd6d8bHannah Wynne Richards<p>&nbsp;Guess work, but pustular reaction suggests ditch water was filthy. My guess would be that inhaled water has caused pneumonia, which has developed into an abcess, which has burst into the pleural cavity, allowing ingress of air at the same time. This is consistent with the pyrexia, and improvement on cephacare.</p> <p>I would perform a pleural wash, and submit for bacteriology. Whilst awaiting the result, I&#39;d put back on cephacare. If still on cephacare, I&#39;d add another antibiotic, preferably one effective against anaerobes.</p> <p>Good luck</p> <p>Wynne</p><div style="clear:both;"></div>