[The percutaneous treatment of purulent intrathoracic fluid collections in HIV+ patients]. / Trattamento percutaneo di raccolte purulente endotoraciche in pazienti HIV+.
Radiol Med
; 87(6): 833-6, 1994 Jun.
Article
em It
| MEDLINE
| ID: mdl-8041939
ABSTRACT
Eighteen HIV+ patients with purulent fluid intrathoracic collections (16 pleural empyemas and 2 lung abscesses) and persistent sepsis were treated with percutaneous drainage; all patients had received antibiotics for 5-7 days at least. Empyemas and lung abscesses were cured (according to clinical and radiographic criteria) in all patients (100%). One major complication was successfully treated--i.e., a pneumothorax with a iatrogenic lesion of the internal mammary artery, requiring selective embolization. In our experience, CT is the method of choice to guide lesion puncture. Van Sonnenberg Sump catheters (12-16 F) have been inserted in the last six months with the Trocar technique. The maneuvers were successful in all cases, with good compliance and management of patients in a 9-25 days' period (mean 14 days). In our experience, the percutaneous drainage of intrathoracic fluid collections in HIV+ patients should be considered the method of choice.
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Base de dados:
MEDLINE
Assunto principal:
HIV-1
/
Soropositividade para HIV
/
Empiema Pleural
/
Infecções Oportunistas Relacionadas com a AIDS
/
Abscesso Pulmonar
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
It
Ano de publicação:
1994
Tipo de documento:
Article