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Empyema

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https://www.readbyqxmd.com/read/29443771/endoscopic-bronchial-occlusion-for-postoperative-persistent-bronchopleural-fistula-with-computed-tomography-fluoroscopy-guidance-and-virtual-bronchoscopic-navigation-a-case-report
#1
Masahiro Yanagiya, Jun Matsumoto, Masaaki Nagano, Masashi Kusakabe, Yoko Matsumoto, Ryutaro Furukawa, Sayaka Ohara, Kazuhiro Usui
RATIONALE: The development of postoperative bronchopleural fistula (BPF) remains a challenge in thoracic surgery. We herein report a case of BPF successfully treated with endoscopic bronchial occlusion under computed tomography (CT) fluoroscopy and virtual bronchoscopic navigation (VBN). PATIENT CONCERNS: A 63-year-old man underwent right upper lobectomy with concomitant S6a subsegmentectomy for lung adenocarcinoma. On postoperative day 24, he complained of shaking chills with high fever...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29442395/paediatric-thoracic-empyema-in-the-tropical-north-queensland-region-of-australia-epidemiological-trends-over-a-decade
#2
Anil Gautam, Gregory G Wiseman, Marika L Goodman, Simon Ahmedpour, Daniel Lindsay, Adele Heyer, Harry Stalewski, Robert E Norton, Andrew V White
AIM: The Townsville Hospital and Health Service is the regional referral centre for children in the north of Queensland. Aboriginal and Torres Strait Islander (ATSI) people make up 7-10% of the population. Increasing numbers of children with paediatric thoracic empyema (pTE) are being referred to Townsville Hospital and Health Service for management. This study aims to describe the incidence rates, epidemiology, microbiology and trends of this disease in North Queensland over a 10-year period...
February 14, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29439815/pleural-lymphoma-associated-with-chronic-empyema
#3
Ana Cerezo-Hernández, María Victoria García-Gallardo Sanz, Carmen Ainhoa Arroyo Domingo, Félix Del Campo Matías
No abstract text is available yet for this article.
February 10, 2018: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/29438130/blood-culture-and-pleural-fluid-culture-yields-in-pediatric-empyema-patients-a-retrospective-review-1996-2016
#4
Christina T Stankey, Alicen B Spaulding, Angela Doucette, Karen E S Hamre, William Wheeler, William F Pomputius, Stephen Kurachek
Empyema is a complication of community-acquired pneumonia. We conducted a retrospective analysis of empyema patients discharged from 1996-2016, examining culture results according to timing of antibiotic administration. Blood culture decreased from 45% to 4% after antibiotics, and pleural fluid culture yield decreased from 67% to 30%. More than half of methicillin-resistant Staphylococcus aureus cases occurred from 2011-2016.
February 12, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29437738/an-unusual-presentation-of-pulmonary-embolism-leading-to-infarction-cavitation-abscess-formation-and-bronchopleural-fistulation
#5
Eva Teng, Luke Bennett, Tommaso Morelli, Anindo Banerjee
We report an unusual presentation of pulmonary embolism (PE) where a 58-year-old man first developed symptoms of community-acquired pneumonia. Despite antibiotic therapy, he remained unwell with rising inflammatory markers, general malaise and persistent cough. He developed stony dull percussion and absent breath sounds to his left mid to lower zones. Serial chest x-rays showed progression from lobar consolidation to a large loculated left-sided pleural collection. CT chest showed left-sided lung abscess, empyema and bronchopleural fistulation...
February 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29425674/-predictive-variables-for-failure-in-administration-of-intrapleural-tpa-dnase-in-patients-with-complicated-parapneumonic-effusions-empyema
#6
Danai Khemasuwan, Jeffrey Sorensen, David C Griffin
INTRODUCTION: Combined Intrapleural therapy with tissue plasminogen activator (tPA) and deoxyribonuclease (DNase) has been shown to reduce the need for surgical intervention for complicated pleural effusion/empyema (CPE/empyema). For patients in whom tPA/DNase is likely to fail, however, receipt of this therapy may simply delay the inevitable. The goal of this study was to identify risk factors for failure of combined intrapleural therapy. METHODS: We performed a retrospective chart review of patients who received intrapleural tPA/DNase for the treatment of CPE/empyema...
February 6, 2018: Chest
https://www.readbyqxmd.com/read/29415741/elucidating-the-impact-of-the-pneumococcal-conjugate-vaccine-programme-on-pneumonia-sepsis-and-otitis-media-hospital-admissions-in-england-using-a-composite-control
#7
Dominic Thorrington, Nick Andrews, Julia Stowe, Elizabeth Miller, Albert Jan van Hoek
BACKGROUND: The seven-valent pneumococcal conjugate vaccine (PCV) was introduced in England in September 2006, changing to the 13-valent vaccine in April 2010. PCV impact on invasive pneumococcal disease (IPD) has been extensively reported, but less described is its impact on the burden of pneumonia, sepsis and otitis media in the hospital. METHODS: Using details on all admissions to hospitals in England, we compared the incidence of pneumococcal-specific and syndromic disease endpoints in a 24-month pre-PCV period beginning April 2004 to the 24-month period ending March 2015 to derive incidence rate ratios (IRRs)...
February 8, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29415251/supercharged-free-omental-flap-plombage-for-empyema-in-a-patient-with-an-artificial-pericardium
#8
Isao Matsumoto, Kenji Iino, Hirofumi Takemura
Cavernostomy and fenestration were performed in a patient who developed a lung abscess and empyema in the left lung, which was damaged after multimodality therapy for advanced thymoma. The hospitalized patient suddenly experienced cardiopulmonary arrest due to major bleeding from the left main pulmonary artery. We immediately performed the main pulmonary arterial embolization, and the patient was resuscitated. Subsequently, the patient underwent supercharged free omental flap plombage performed in the following manner: first, laparoscopic harvesting of the omentum was performed in the supine position...
February 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29404826/neurological-complications-of-acute-and-chronic-sinusitis
#9
REVIEW
Andrea Ziegler, Monica Patadia, James Stankiewicz
PURPOSE OF REVIEW: Acute and chronic sinusitis can give rise to a wide array of intracranial and orbital complications. These complications include brain abscess, subdural empyema, epidural abscess, meningitis, venous sinus thrombosis, frontal bone osteomyelitis, and orbital cellulitis and abscess. Despite numerous medical advances, these complications carry a risk of mortality and significant morbidity. RECENT FINDINGS: Recent studies have shown improvement in both the mortality and the morbidity associated with the neurologic complications of acute and chronic sinusitis...
February 5, 2018: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/29398913/risk-of-empyema-in-patients-with-copd
#10
Hsueh-Yi Lu, Kuang-Ming Liao
Objective: Pneumonia is one of the most common infectious diseases in patients with COPD. The risk of empyema in COPD is controversial, and its incidence has not been reported. The aim of our study was to determine the risk of empyema in COPD patients and to assess its risk factors. Patients and methods: We used the National Health Insurance Research Database in Taiwan to conduct an observational cohort study. This study analyzed patients who were diagnosed with COPD between January 1, 2003 and December 31, 2009...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29397929/analysis-of-patients-discharged-from-the-hospital-with-a-chest-tube-in-place
#11
J Matthew Reinersman, Mark S Allen, Shanda H Blackmon, Stephen D Cassivi, Francis C Nichols, Dennis A Wigle, K Robert Shen
BACKGROUND: Persistent air leak can complicate pulmonary resection, and one management option is dismissal with a chest tube in place. This study evaluated the rate of empyema and readmission after dismissal with a chest tube. METHODS: A retrospective review of our prospective database from January 2004 to December 2013 identified 236 patients who were discharged from our institution with an indwelling chest tube and attached one-way valve for air leak. Empyema was defined by leukocytosis or fever and undrained effusion on chest roentgenogram or computed tomography...
February 1, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29392577/post-obstructive-pneumonia-in-patients-with-cancer-a-review
#12
REVIEW
Kenneth V I Rolston, Lior Nesher
Published literature on post-obstructive pneumonia is difficult to find and consists mainly of case reports or small case series. This entity is encountered most often in patients with advanced lung malignancy but is also occasionally seen in patients with community-acquired pneumonia (CAP). There are substantial differences in the manifestations, treatment, and outcomes of post-obstructive pneumonia in these two settings. When obstruction is present in patients with CAP, it is almost always secondary to an underlying pulmonary malignancy...
February 1, 2018: Infectious Diseases and Therapy
https://www.readbyqxmd.com/read/29383943/complications-of-surgery-for-infectious-lung-cavities
#13
Gildardo Cortés-Julián, Luis C Valencia, Silviano Ríos-Pascual, Marco A de la Rosa-Abarroa, Enrique Guzmán-de Alba
Background Infectious lung cavities are a common entity for the respiratory physician. Sometimes these lesions require surgical treatment, but surgery is challenging, and complications are common. Methods Patients with infectious lung cavities amenable to surgical treatment were included in a case-control study. The control group included patients with no complications. The cases group comprised patients with any of the following complications up to 90 days after surgery: death, persistence of hemoptysis, empyema, operative blood loss > 500 mL, vascular lesion requiring repair, massive transfusion (>5 units of packed red blood cells per 48 h) or reoperation for bleeding, postoperative mechanical ventilation, intensive care unit stay > 48 h, prolonged air leak, and persistent atelectasis...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29379816/hepatopleural-fistula-with-empyema-thoracis-a-rare-complication-of-autosomal-dominant-polycystic-kidney-disease
#14
Jeerawat Maytapa, Kessarin Thanapirom, Sombat Treeprasertsuk, Piyawat Komolmit, Bundit Chaopathomkul, Pinit Kullavanijaya
We report a 70-year-old man with autosomal dominant polycystic kidney disease (ADPKD) who presented with right-sided extended-spectrum beta-lactamases Escherichia coli empyema thoracis. Chest and abdominal computed tomography showed hepatopleural fistula. The patient refused a surgical operation and was treated with tube thoracotomy, percutaneous drainage of dominant liver cyst, and intravenous antibiotics. His symptoms improved after 2 months of nonsurgical treatment.
2018: ACG Case Reports Journal
https://www.readbyqxmd.com/read/29377548/intracranial-suppurative-complications-of-ear-nose-and-throat-infections-a-single-centre-cohort-study-of-65-patients
#15
Maxime Erlem, Raphaël Guiheneuf, Nathalie Klopp-Dutote, Aurélie Biet-Hornstein, Loïc Dégrugilliers, Cyril Page
In the Picardie region of northern France, the prevalence of intracranial suppurative complications (particularly empyema) of ear, nose and throat infections seems to have increased over the last 10 to 15 years. Three possible reasons for the increased incidence in this region are the inappropriate use of antibiotics, low socioeconomic status, and poor access to high-quality healthcare. Intracranial complications affect both sexes and all ages. If a patient suffering from sinusitis or (especially) otitis media complains of headache, the possible presence of an intracranial suppurative complication must be always be considered and should prompt immediate medical imaging (a cranial CT scan and MRI) for confirmation of the diagnosis...
January 27, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29371096/first-case-of-pleural-empyema-and-pulmonary-abscess-caused-by-eggerthia-catenaformis
#16
Pauline Duport, Guillaume Miltgen, Clément Kebbabi, Olivier Belmonte, Nathalie Coolen-Allou, Jérôme Allyn, Nicolas Allou
Few data are available on the anaerobic bacterium Eggerthia catenaformis. Here we report the first clinical case of a patient with sepsis caused by pulmonary infection with E. catenaformis, and present the minimal inhibitory concentrations of different antimicrobial agents.
January 22, 2018: Anaerobe
https://www.readbyqxmd.com/read/29370933/assessment-of-the-charlson-comorbidity-index-score-chads2-and-cha2ds2-vasc-scores-in-predicting-death-in-patients-with-thoracic-empyema
#17
Jengyuan Wu, Chienming Liu, Shangsen Lee, Yuhung Kuo, Tengfu Hsieh
BACKGROUND: Patients with thoracic empyema have an increased risk of mortality, but their absolute rate of mortality depends on age and comorbidities. OBJECTIVE: This study seeks to assess the predictive value of the Charlson Comorbidity Index score (CCIS), CHADS2 and CHA2DS2-VASc scores for mortality risk in patients with empyema thoracis. METHODS: From Taiwan's National Health Insurance Research Database we identified a total of 484 participants diagnosed with thoracic empyema...
January 19, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29361235/intrapleural-fibrinolytic-therapy-for-empyema-and-pleural-loculation-knowns-and-unknowns
#18
Steven Idell, Najib M Rahman
No abstract text is available yet for this article.
January 23, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29355966/predictors-for-30-day-readmission-after-pulmonary-resection-for-lung-cancer
#19
Florencio Quero-Valenzuela, Inmaculada Piedra-Fernández, María Martínez-Ceres, Pedro J Romero-Palacios, Abel Sánchez-Palencia, Antonio Cueto-Ladrón De Guevara, Pablo Torné-Poyatos
BACKGROUND: The purpose of this study was to assess the rate, cause, and factors associated with readmissions following pulmonary resection for lung cancer and their relationship with 90-day mortality. METHODS: A prospective cohort study was conducted of 379 patients who underwent surgery for lung cancer at the university hospitals Granada, Spain between 2012 and 2016. RESULTS: The rate of readmissions within 30 postoperative days was 6.2%...
January 22, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29353318/diagnostic-value-of-vascular-endothelial-growth-factor-transforming-growth-factor-%C3%AE-interleukin-8-and-the-ratio-of-lactate-dehydrogenase-to-adenosine-deaminase-in-pleural-effusion
#20
Takeshi Saraya, Kosuke Ohkuma, Takayasu Watanabe, Sunao Mikura, Fumi Kobayashi, Junpei Aso, Hiroki Nunokawa, Kojiro Honda, Yukari Ogawa, Masaki Tamura, Mitsuru Sada, Miku Oda, Manami Inoue, Takuma Yokoyama, Daisuke Kurai, Haruyuki Ishii, Hirokazu Kimura, Hajime Takizawa
PURPOSE: We studied the diagnostic value of cytokines, including vascular endothelial growth factor (VEGF), transforming growth factor-β (TGF-β), and interleukin-8 (IL-8), and the ratio of lactate dehydrogenase (LDH) to adenosine deaminase (ADA) in pleural fluid. METHODS: Prospective analysis of 44 inpatients or outpatients with pleural fluid, from December 2016 to March 2017 was conducted. RESULTS: We enrolled patients with malignant pleural effusion (MPE, N = 15), empyema (N = 11), parapneumonic effusion (PPE, N = 7), chronic renal failure (CRF)/chronic heart failure (CHF) (N = 7), and tuberculous pleural effusion (TBPE, N = 4)...
January 20, 2018: Lung
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