ABSTRACT
No abstract available.
Subject(s)
Aged , Humans , Male , Bacterial Proteins/genetics , Empyema/complications , Immunocompromised Host , Nocardia/classification , Phylogeny , Pneumonia/complications , Positron-Emission Tomography , RNA, Ribosomal, 16S/analysis , Sequence Analysis, DNA , Tomography, X-Ray ComputedABSTRACT
Background: Despite improved antimicrobial therapy and multiple options for drainage of infected pleural space, thoracic empyema (TE) continues to cause significant morbidity and mortality. The objectives of this study were to assess the causes and treatment outcome of patients with thoracic empyema. Methods: Patients aged ⥠13year with TE who were admitted to Gondar University Teaching Hospital, Northwest Ethiopia, from Nov 1999 to Dec 2007 were included. Retrospectively, medical records were reviewed and demographic and clinical data were collected. Results: Records of 81 patients were analyzed; majority (82%) were below the age 50 year. The mean duration of symptoms prior to presentation and hospital stay was 97.4 and 38days, respectively. HIV/AIDS was detected in 60%. Causes of empyema were pulmonary tuberculosis (56%), pneumonia (36%) and lung abscess (7%). Closed chest tube was inserted in 86% of cases and was successful in 93% of them. Case-fatality was 12% and poor outcome occurred in 26%. Conclusions: Early identification of TE and aggressive management with antibiotics or antituberculosis, drainage with chest tube, and surgical treatment when closed tube drainage fails is recommended to improve the high mortality and morbidity
Subject(s)
Empyema, Pleural/etiology , Empyema/complications , Empyema/diagnosis , Empyema/mortality , Empyema/therapy , Ethiopia , Hospitals, TeachingABSTRACT
El empiema paraneumónico (EP) o pus en el espacio pleural es una complicación rara de la neumonía bacteriana en niños; sin embargo ésta se ha incrementado en Estados Unidos y Europa en los últimos años. Los autores mencionan que en su institución (Primary Childrens Medical Center, Salt Lake City) trataron 500 pacientes con empiema en la última década. En Utah incrementó de 1/100.000 niños el año1993 a 14/100.000 el 2003
Subject(s)
Child , Empyema, Pleural/diagnosis , Empyema/complications , Pneumonia, Bacterial/complicationsABSTRACT
Os autores descrevem o caso de um homem de 45 anos com empiema crônico adquirido após trauma torácico por arma de fogo. O paciente evoluiu durante doze anos com drenagem espontânea através da parede torácica. Submetido a tratamento cirúrgico, recebeu alta em boas condições clínicas. A partir do caso relatado, é feita uma breve discussão sobre os principais aspectos para o diagnóstico e tratamento do empiema de necessidade.
Subject(s)
Humans , Male , Adult , Empyema/surgery , Empyema/complications , Empyema/diagnosis , Empyema/therapy , Thoracic Injuries , Wounds, GunshotABSTRACT
El empiema es una de las complicaciones más frecuentes de las neumonías bacterianas causadas por Haemophilus influenzae y Staphylococcus aureus, sobre todo en lactantes y escolares. El correcto diagnóstico y clasificación, de acuerdo con el estadio en que se encuentre ya sea exudativo, fibrinopurulento u organizado; son fundamentales para determinar el tratamiento antibiótico y de drenaje adecuados
Subject(s)
Humans , Child , Pediatrics , Empyema/complications , Empyema/diagnosis , Empyema/drug therapyABSTRACT
A chyliform (pseudochylous) effusion is an uncommon disease entity which develops after an exudative effusion is in situ for a long time. It is commonly initiated by a tuberculous pleurisy and it is important to exclude the presence of active tuberculosis. We present a case with the characteristic features. Chylothorax was excluded by demonstrating in the pleural fluid a relatively low level of triglycerides with a cholesterol/triglyceride level of less than one and abundant cholesterol crystals
Subject(s)
Humans , Female , Aged , Chyle , Pleural Effusion , Diagnosis, Differential , Drainage , Pleural Effusion/diagnosis , Pleural Effusion , Empyema/complications , Empyema , Chylothorax/diagnosis , Respiratory Function Tests , Tomography, X-Ray ComputedABSTRACT
Se estudiaron 13 pacientes (pac) con el diagnóstico de Pericarditis Purulenta (PP) entre enero de 1977 a Diciembre 1987, las edades fluctuaron entre 09 meses y 43 años, el grupo etáreo más afectado fue el menor de 16 años con 11 (84,61 por ciento) casos. Predominó el sexo femenino con 8 (61, 53 por ciento), sobre el masculino 5 (38,46 por ciento) pac. Criterios de inclusión: cuadro clínico, trastornos en el electrocardiograma (Ecg), cardiomegalia en la radiografía de tórax (Rx), ecocardiograma (Eco) positivo para efusión pericárdica, bacteriología positiva en hemocultivo, cultivo de fluído pericárdico (FP) u otros focos, sepsis, anatomía patológica con hallazgos característicos. Disneas en 100 por ciento, fiebre 92,30 por ciento y tos 53,84 por ciento pac, hepatomegalia en 92,30 por ciento, frote pericárdico 76,92 por ciento e ingurgitación venosa yugular 61,53 por ciento pac. Taquicardia sinusal en el 100 por ciento, T plana en 61,53 por ciento, QRS disminuído de voltaje en 46,15 por ciento, alternancia eléctrica 38,46 por ciento, T invertida en 30,76 por ciento y elevación del ST 30,76 por ciento pac. La Rx mostró cardiomegalia en 92,30 por ciento, derrame pleural 61,53 por ciento y foco neumónico 53,84 por ciento pac. Eco positivo en los 7 casos realizados. Por pericardiocentesis se obtuvo el FP en todos, con volúmenes entre 5 y 800 ml, mediana 55 ml. El aspecto varió del amarillo cetrino al purulento. La celularidad osciló de 32 a 198420/mm3, con 89,8 por ciento de polimorfonucleares y 10,2 por ciento de linfomononucleares. Glucosa 68 mg por ciento, proteínas 5,4 g por ciento. El FP se cultivó en 11, y fue positivo en 6 (46,15 por ciento), 12 pac hemocultivados, 8 (61,53 por ciento) positivos, 4 (30,76 por ciento) negativos. Bacteriología: Staphylococcus aureus en 6 casos (46,15 por ciento), Diplococcus pneumoniae 1 (7,69 por ciento) y Salmonella typhi 1 (7,69 por ciento). En 5 (38,46 por ciento) pac ocurrió sobreinfección intrahospitalaria a Gram negativos: Salmonella sp., Escherichia coli, Klebsiella y Pseudomona aeruginosa. En 2 (15,38 por ciento) coexistió más de una bacteria sobreinfectante. Enfermedades asociadas: Empiema pleural 8 (61,53 por ciento), neumonía 7 (53,84 por ciento), artritis infecciosa en 5 (38,46 por ciento) y osteomielitis 4 (30,76 por ciento). Sepsis se consideró en 8 (61,53 por ciento) pac. Tratamiento: antibióticos y pericardiocentesis en 3 (23,07 por ciento), antibióticos, pericardiocentesis en 10 (76,92 por ciento) pac. Mor
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Adolescent , Adult , Middle Aged , Pericarditis/complications , Pericarditis/etiology , Osteomyelitis/complications , Osteomyelitis/etiology , Pericardium/surgery , Pericardium/pathology , Pericardium , Peru , Echocardiography , Arthritis, Infectious/complications , Arthritis, Infectious/etiology , Empyema/complications , Empyema/etiology , Electrocardiography , Pneumonia/complications , Pneumonia/etiology , Radiography, ThoracicABSTRACT
A 13-year-old boy with homozygous sickle-cell (SS) disease followed from birth in a cohort study of sickle-cell disease developed empyema of the gallbladder after a known 3-year history of gallstones. At this age, gallstones occur in 30%of cohort study children with SS disease but this is the first patient with specific symptoms
Subject(s)
Humans , Adolescent , Male , Cholecystitis , Empyema/complications , Homozygote , Anemia, Sickle Cell/complicationsABSTRACT
Forty-one cases of empyema thoracis admitted in hospital during April, 1985 to August, 1987 were studied. Majority were males (65.9%) and were of less than 2 years of age (70.7%). Right side (60.9%) was predominantly involved. Abdominal distension (43.9%) was very characteristic, with other usual features like fever, cough and respiratory distress. A large majority of them were victims of malnutrition (73.2%) and anaemia (53.7%) with haemoglobin level ranging from 5-9 g/dl. Mortality was high (17.1%). Therapy with parenteral cloxacillin and gentamicin and continuous intercostal tube drainage accounted for loss of 15.8 bed days (average period of hospitalisation). Staph aureus was the principal aetiopathogen (68.3%). No anaerobe could be isolated. Strains of staphylococci were mostly resistant to penicillin and ampicillin but sensitive to gentamicin, cloxacillin and erythromycin.
Subject(s)
Child, Preschool , Empyema/complications , Female , Humans , Infant , MaleABSTRACT
A deiscência da sutura do coto brônquico é uma grave complicaçäo da penumonectomia. O empiema e a fístula brônquica que se desenvolvem nestes doentes säo de difícil tratamento. A conduta para o controle destas fístulas é um desafio terapêutico apesar do grande número de técnicas propostas. A incidência é baixa, 2,7% a 6,8% das penumonectomias, porém sua mortalidade chega a 50%. Neste trabalho apresentamos 1 caso de fístula brônquica e analisamos os diversos procedimentos operatórios, preconizados para o seu tratamento
Subject(s)
Humans , Aged , Male , Pleural Diseases/surgery , Bronchial Fistula/surgery , Fistula/surgery , Pneumonectomy/adverse effects , Pleural Diseases/etiology , Drainage , Empyema/complications , Empyema/therapy , Bronchial Fistula/complications , Bronchial Fistula/etiology , Bronchial Fistula/mortality , Fistula/etiology , Lung Neoplasms/surgery , ReoperationABSTRACT
En un perído de 10 años, entre enero de 1974 y diciembre de 1983, fueron tratados 42 empiemas postneumonectomía. Se analiza el resultado operatorio y se describen los diferentes métodos de tratamiento del empiema postneumonectomía. La mortalidad operatoria fue de 9,5% (4/42). La esterilización del espacio infectado postneumonectomía fue entre 1 mes y 4 años, con un promedio de 8 meses
Subject(s)
Cephalosporins/therapeutic use , Empyema/complications , Empyema/drug therapy , Empyema/etiology , Empyema/mortality , Empyema/surgery , PneumonectomySubject(s)
Humans , Infant , Empyema/microbiology , Escherichia coli Infections/microbiology , Pneumonia/microbiology , Amikacin/therapeutic use , Cephalexin/therapeutic use , Cephalothin/therapeutic use , Combined Modality Therapy , Drainage , Empyema/complications , Empyema/therapy , Escherichia coli Infections/therapy , Pneumonia/complications , Pneumonia/therapySubject(s)
Child, Preschool , Empyema/complications , Esophageal Fistula/etiology , Fistula/etiology , Humans , Male , Pleural Diseases/etiologyABSTRACT
Pleural aspergillosis is an uncommon disease; only 29 cases have reported in the literature since 1958. We reported a patient with a pleural aspergillosis complicated a preexisting chronic empyema. Treatment consisted of pleuropneumonectomy, creation of an pleurocutaneous window followed by an intrapleural instillation of nystatin.
Subject(s)
Aged , Humans , Male , Aspergillosis/diagnosis , Empyema/complications , Lung Diseases, Fungal/diagnosisABSTRACT
Apresenta-se um caso de angina de Ludwig em indivíduo do sexo masculino, complicada com pneumonia aspirativa, mediastinite e empiema pleural. O tratamento constou de antibioticoterapia e drenagem das coleçöes purulentas. Näo houve necessidade de traqueotomia. O paciente recuperou-se totalmente. Destaca-se a importância do diagnóstico precoce, no sentido, de se evitar complicaçöes desta doença