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https://www.readbyqxmd.com/read/29670781/-candida-krusei-empyema-thoracis-a-community-acquired-infection-requiring-a-high-index-of-suspicion
#1
Hazim Bukamur, Waseem Ahmed, Yazan Numan, Ibrahim Shahoub, Fuad Zeid
Empyema thoracis is a serious condition characterized by the accumulation of purulent fluid in the pleural cavity, typically following a pneumonia, subdiaphragmatic abscess, or esophageal rupture. Fungal empyema thoracis is a rare form of this condition with especially high mortality, in which the most frequently isolated fungus is Candida spp. This article presents a 74-year-old female with Candida krusei pneumonia and a complicated hospital course, initially presenting with nausea, vomiting, and dysphagia...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29660355/intrapleural-therapy-for-empyema-in-the-setting-of-a-bronchopleural-fistula-a-novel-use-of-an-intrabronchial-valve
#2
Nikita Leiter, Edward M Pickering, Yashvir S Sangwan, Whitney M Burrows, Joseph S Friedberg, Ashutosh Sachdeva
Post-surgical empyema with bronchopleural fistula can be difficult to manage. We present a case of post-operative empyema with bronchopleural fistula that was successfully treated non-operatively by placing an intrabronchial valve to address the bronchopleural fistula, which allowed for safe administration of intrapleural fibrinolytics and antibiotics for definite treatment of the empyema. While the presence of a bronchopleural fistula is considered a contraindication to the administration of intrapleural tissue plasminogen activator and deoxyribonuclease, this case demonstrates a novel use of the intrabronchial valve that could allow these medications to be used...
April 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29660258/pleural-tuberculosis-a-concise-clinical-review
#3
Jane A Shaw, Elvis M Irusen, Andreas H Diacon, Coenraad Fn Koegelenberg
Tuberculosis (TB) is the leading infectious cause of death worldwide, and the commonest cause of death in people living with HIV. Globally, pleural TB remains one of the most frequent causes of pleural exudates, particularly in TB-endemic areas and in the HIV positive population. Most TB pleural effusions are exudates with high adenosine deaminase (ADA), lymphocyte-rich, straw-coloured and free flowing, with a low yield on mycobacterial culture. TB pleurisy can also present as loculated neutrophil-predominant effusions which mimic parapneumonic effusions...
April 16, 2018: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29651513/-chest-trauma-from-a-surgical-perspective
#4
Philipp Lichte, Sebastian Kalverkamp, Jan Spillner, Frank Hildebrand, Philipp Kobbe
Patients with multiple injuries in particular frequently also suffer from chest trauma. During the initial phase the identification and treatment of life-threatening injuries is essential and tension pneumothorax is of particular importance during this phase. The Advanced Trauma Life Support (ATLS) algorithm should be followed for structured treatment. In most cases treatment by insertion of a chest tube is sufficient but for some injuries an emergency thoracotomy is unavoidable as a life-saving intervention...
April 12, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29643137/-sphingomonas-paucimobilis-empyema-caused-by-remote-foreign-body-aspiration
#5
Jin Yuan, Thomas Treadwell
Empyema secondary to foreign body aspiration is rare in adults. We present a case of empyema in a 77-year-old male patient related to a remote aspiration event during a dental procedure. A CT of the chest and bronchoscopy confirmed that a metallic foreign body was located within the right lower lobe bronchus. His pleural fluid culture revealed Sphingomonas paucimobilis which is a low-virulent opportunistic gram-negative bacilli and rarely causes infection. The patient received meropenem followed by levofloxacin and recovered uneventfully...
April 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29628834/comparison-of-analgesic-efficacy-and-safety-of-continuous-epidural-infusion-versus-local-infiltration-and-systemic-opioids-in-video-assisted-thoracoscopic-surgery-decortication-in-pediatric-empyema-patients
#6
Priyanka Pradeep Karnik, Nandini Malay Dave, Madhu Garasia
Introduction: The stripping of the densely innervated and inflamed parietal pleura in empyema during video-assisted thoracoscopic surgery (VATS) decortication can lead to significant pain and major postoperative respiratory compromise. Hence, we compared the analgesic efficacy of continuous epidural infusion versus local infiltration and systemic opioids in children undergoing VATS decortications. Methodology: Following ethics approval and informed consent, forty patients from 1 to 12 years of age were randomized into two groups, Group E (epidural) and Group L (local infiltration) after induction of anesthesia...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29626971/likely-false-positive-pneumococcal-antigen-test-binaxnow-due-to-parvimonas-micra-a-four-case-series
#7
Marie-Caroline Ploton, Marion Caseris, Christelle Jost, Yoann Picard, Jean Gaschignard, Charlotte Pierron, Suzy Canivez, Roxanne Le Dalour, Michael Bendavid, Agnès Carol, Philippe Bidet, Stéphane Bonacorsi
We retrospectively report four cases from two hospitals of nonpneumococcal pleural empyema with a likely false-positive result on the pneumococcal antigen test BinaxNOW (PATB) (Alere) performed in pleural fluid samples in patients with aspiration pneumonia risk factors. To determine whether the positive reaction was due to cross-reactivity, we separately tested the isolates from the pleural fluid samples, along with collection and reference strains. All patients had polymicrobial aerobic and anaerobic positive cultures, including Parvimonas micra in every case...
April 2018: Chest
https://www.readbyqxmd.com/read/29622912/uncommon-pathogen-bacillus-cereus-causing-subdural-empyema-in-a-child
#8
Prastiya Indra Gunawan, Leny Kartina, Dwiyanti Puspitasari, Erny Erny
Background: Subdural empyema (SDE) in children is a severe intracranial infection. Many pathogens can cause SDE. Case Details: In this articlewe present a 15-month old Indonesian boy diagnosed as SDE based on the clinical symptoms and neuroimaging. A complete blood count showed white blood cell count of 13.800/mm3 and the CRP level was 8.3 mg/L. Craniotomy following burr hole drainage procedure was performed to decrease intracranial pressure. The liquor culture indicated Bacillus cereus...
January 2018: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/29605961/factors-affecting-postoperative-lung-expansion-in-patients-with-pyogenic-empyema
#9
Hyo Yeong Ahn, Jeong Su Cho, Yeong Dae Kim, Hoseok I, Seunghwan Song, Jung Seop Eom, Jeongha Mok
BACKGROUND:  In patients with parapneumonic empyema, decortication is usually preferred to ensure functional lung re-expansion. However, there could be patients exhibiting incomplete postoperative lung expansion and inadequate drainage despite decortication. Therefore, we evaluated factors affecting postoperative lung expansion in patients undergoing decortication. METHODS:  A total of 221 patients with pyogenic empyema who underwent video-assisted thoracoscopic surgery (VATS) between January and October 2016 in our hospital were reviewed in terms of surgical success...
April 1, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29600066/comparison-of-closed-chest-drainage-with-rib-resection-closed-drainage-for-treatment-of-chronic-tuberculous-empyema
#10
Yong Fang, Heping Xiao, Wei Sha, Haili Hu, Xiaofang You
Background: This study aimed to compare the efficacy of closed-chest drainage with rib resection closed drainage of chronic tuberculous empyema. Methods: This retrospective study reviewed 86 patients with tuberculous empyema in Shanghai Pulmonary Hospital from August 2010 to November 2015. Among these included patients, 22 patients received closed-chest drainage, and 64 patients received rib resection closed drainage. Results: The results showed that after intercostal chest closed drain treatment, 2 (9...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29594190/complex-pulmonary-aspergilloma-surgical-challenges-in-a-third-world-setting
#11
Bernadette Ngo Nonga, Guy Aristide Bang, Bonaventure Jemea, Eric Savom, Perfura Yone, Ngahane Mbatchou, Jean Jacques Ze
Background: Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon. We report our experience of surgical management of PA in this environment. Method: We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29587923/-application-of-vsd-in-6-cases-of-postoperative-infection-a-clinical-experience-sharing
#12
Jilong Ma, Jing Zhao, Qizhou Bai, Shengliang He, Jun Yu, Yunjiu Gou
BACKGROUND: Surgical site infection is one of the common postoperative complications of thoracic surgery, and its harm is related to infection degree and location. Light causes local pain, prolonged hospitalization and increased cost. Severe infection can lead to severe infection, even septic shock and life-threatening. Therefore, proper treatment of incision infection can help to promote recovery, reduce the burden of disease and lay a good foundation for further treatment. The traditional surgical treatment of wound infection includes thorough drainage, intensive dressing change and antibiotic use...
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29582773/streptococcus-pyogenes-subdural-empyema-and-pre-eclampsia
#13
Simon Poignant, Pascaline Pigache, Eric Fournier, Djilali Elaroussi, Marc Laffon
No abstract text is available yet for this article.
April 2018: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29581405/lung-abscess-or-empyema-taking-a-closer-look
#14
Maged Hassan, Rachelle Asciak, Rana Rizk, Hany Shaarawy, Fergus V Gleeson, Najib M Rahman
No abstract text is available yet for this article.
March 26, 2018: Thorax
https://www.readbyqxmd.com/read/29567906/nontuberculous-mycobacterial-empyema-in-an-immunocompetent-child
#15
Ira Shah, Forum Shah
Nontuberculous mycobacterium (NTM) species are mycobacterial species other than those belonging to the Mycobacterium Tuberculosis complex and Mycobacterium leprae. There are very few reports of NTM in immunocompetent children causing empyema. In this article, we report a 9-year-old immunocompetent girl who presented with Mycobacterium avium-intracellulare empyema.
January 2018: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/29564197/conservative-management-of-acalculous-cholecystitis-in-a-seven-year-old-child
#16
Jessica Y Ng, Jennie Gu
Acute acalculous cholecystitis is an uncommon disease in children and is usually associated with trauma, burns, and infections. Whereas acute acalculous cholecystitis is only seen in 10% of cholecystitis in adults, it is uncommon in the paediatric population. A seven-year-old male presented to the emergency department of a regional hospital with a 36-hour history of right-upper-quadrant abdominal pain. He had associated symptoms of anorexia, nausea, and vomiting. He was septic with raised white cell count and inflammatory markers...
January 20, 2018: Curēus
https://www.readbyqxmd.com/read/29557580/successful-non-surgical-management-of-pleuroparenchymal-fistula-following-cervical-intraspinal-empyema
#17
Christopher Ull, Mirko Aach, Josef Reichert, Thomas Armin Schildhauer, Justyna Swol
Pulmonary infections are life-threatening complications in patients with spinal cord injuries. In particular, paraplegic patients are at risk if they are ventilator-dependent. This case history refers to a spinal cord injury with a complete sensorimotor tetraplegia below C2 caused by a septic scattering of an intraspinal empyema at C2-C5 and T3-T4. A right-sided purulent pneumonia led to a complex lung infection with the formation of a pleuroparenchymal fistula. The manuscript describes successful, considerate, non-surgical management with shortterm separate lung ventilation...
January 29, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/29555816/correction-empyema-necessitans-and-a-persistent-air-leak-associated-with-rupture-of-an-anaerobic-lung-abscess-due-to-bacteroides
#18
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Thorax
https://www.readbyqxmd.com/read/29555161/-subdural-empyema-an-underestimated-neurosurgical-emergency
#19
Bertrand Mathon, Anne-Marie Korinek
No abstract text is available yet for this article.
March 16, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29550205/current-state-of-empyema-management
#20
Tara R Semenkovich, Margaret A Olsen, Varun Puri, Bryan F Meyers, Benjamin D Kozower
BACKGROUND: Empyema affects up to 65,000 patients annually in the United States. Recent consensus guidelines demonstrate ambiguity about optimal treatment. We examined current treatment practices and outcomes for inpatient treatment of empyema using a comprehensive, longitudinal dataset that encompasses an entire state cohort of hospitalized patients. METHODS: We queried the Healthcare Cost and Utilization Project (HCUP) New York State Inpatient Database (2009-2014) for patients with primary empyema and subsequent readmissions...
March 14, 2018: Annals of Thoracic Surgery
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