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pleural empyema

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https://www.readbyqxmd.com/read/29660258/pleural-tuberculosis-a-concise-clinical-review
#1
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/29643137/-sphingomonas-paucimobilis-empyema-caused-by-remote-foreign-body-aspiration
#2
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/29626971/likely-false-positive-pneumococcal-antigen-test-binaxnow-due-to-parvimonas-micra-a-four-case-series
#3
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/29549058/listeria-monocytogenes-associated-respiratory-infections-a-study-of-38-consecutive-cases
#4
Marjolaine Morgand, Alexandre Leclercq, Mylène M Maury, Hélène Bracq-Dieye, Pierre Thouvenot, Guillaume Vales, Marc Lecuit, Caroline Charlier
OBJECTIVES: Listeria monocytogenes (Lm) is a foodborne human pathogen responsible for severe infection, including septicemia, neurolisteriosis, maternal-fetal and focal infections. Little is known about Lm-associated respiratory tract or lung infections. METHODS: Retrospective study of culture-proven cases of Lm pleural infections and pneumonia reported to the French National Reference Center for Listeria from January 1993 to August 2016. RESULTS: Thirty-eight consecutive patients with pleural infection (n=32), pneumonia (n=5), or both (n=1) were studied...
March 13, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29535878/a-rare-case-of-spontaneous-empyema-by-clostridium-perfringens
#5
Sijan Basnet, Izza Mir, Elan Mohanty, Rashmi Dhital, Biswaraj Tharu, Dilli Ram Poudel
Empyema caused by clostridial infections is rare especially in the absence of invasive thoracic procedures. We present the case of an 81-year-old man without a history of preceding trauma who presented with shortness of breath and nonproductive cough and grew Clostridium perfringens only in the pleural cavity. He was predisposed to the infection due to his swallowing dysfunction. He was treated with penicillin and chest tube placement for drainage and subsequently improved.
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29523026/outcome-after-stenting-and-d%C3%A3-bridement-for-spontaneous-esophageal-rupture
#6
Tobias Hauge, Ole Christian Kleven, Egil Johnson, Bjørn Hofstad, Hans-Olaf Johannessen
OBJECTIVES: Surgical repair has been the most common treatment of esophageal effort rupture (Boerhaave syndrome). Stent-induced sealing of the perforation has increasingly been used with promising results. We present our eight years´ experience with stent-based and organ-preserving treatment. MATERIALS AND METHODS: Medical records of 15 consecutive patients with Boerhaave syndrome from February 2007 to May 2015 were retrospectively registered in a database. Treatment was sealing of the perforation by stenting, chest tube drainage and débridement of the contaminated thorax...
March 9, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29515422/convulsive-seizures-as-presenting-symptom-of-metronidazole-induced-encephalopathy-a-case-report
#7
Caspar Godthaab Sørensen, William Kristian Karlsson, Faisal Mohammad Amin, Mette Lindelof
Introduction: Encephalopathy and convulsive seizures are rare manifestations of metronidazole toxicity. The incidence is unknown, but the condition has most frequently been reported in patients in their fifth to sixth decades. Usually, this condition is regarded as reversible, but permanent deficits and even death have been reported. Case Report: A 66-year-old female patient undergoing metronidazole treatment for pleural empyema was admitted to our institution after her second episode of seizure...
January 2018: Case Reports in Neurology
https://www.readbyqxmd.com/read/29513814/transforming-growth-factor-beta1-tgf-%C3%A3-1-levels-in-a-rat-model-of-induced-pleural-empyema
#8
Samanta Sarmento da Silva, Guilherme Eckert Peterson, Sérgio Luis Amantéa, Patrícia Miorelli, Jane Maria Ulbrich, Eliane Roesch, Paulo Roberto Sanches, Jose Carlos Fraga
PURPOSE: To evaluate the concentration of transforming growth factor beta 1 (TGFB1) levels in a rat pleural effusion obtained by inoculation of intrapleural bacteria or turpentine through thoracentesis. METHODS: Thirty-Nine Wistar rats were divided into three groups: Staphylococcus aureus (SA, n = 17); Streptococcus pneumoniae (SP, n = 12); and turpentine (control, n = 10). Pleural fluid was collected through ultrasound-guided thoracentesis 12 h, 24 h, and 36 h after instillation of bacteria or turpentine...
February 2018: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/29492898/stem-cells-application-in-thoracic-surgery-current-perspective-and-future-directions
#9
Francesco Petrella, Lorenzo Spaggiari
Two main fields of clinical applications of stem cells in thoracic surgery have been explored: (a) regenerative medicine, that is a branch of translational research in tissue engineering and molecular biology dealing with the replacement, engineering or regeneration of cells, tissues and organs to restore normal function; (b) drug loading and delivery, that is an emerging field proposing stem cells as vectors to deliver anti-cancer agents for targeted therapies.Bronchopleural fistula is a pathological connection between the bronchus and the pleural cavity that may develop after lung resection, thus causing pleural empyema due to colonization by resident airway bacteria; stem cells and regenerative medicine approach can effectively contribute to impaired bronchial healing, thus preventive a septic and ventilator catastrophe...
March 1, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29439815/pleural-lymphoma-associated-with-chronic-empyema
#10
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
#11
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
#12
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
#13
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/29371096/first-case-of-pleural-empyema-and-pulmonary-abscess-caused-by-eggerthia-catenaformis
#14
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/29361235/intrapleural-fibrinolytic-therapy-for-empyema-and-pleural-loculation-knowns-and-unknowns
#15
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
#16
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
#17
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)...
April 2018: Lung
https://www.readbyqxmd.com/read/29342487/-application-of-intrabronchial-valves-in-high-risk-patients-with-bronchopleural-fistula-an-alternative-therapeutic-option
#18
Ali Akil, Jan Reichelt, Stefan Freermann, Ilias Karfis, Michael Semik, Stefan Fischer
OBJECTIVES: Persistent air leak or bronchopleural fistula (BPF) is a challenging and frequently observed problem after pulmonary resection and may lead to prolonged chest tube therapy. One efficient nonsurgical approach to manage such a fistula is the application of intrabronchial valves. This may support earlier chest tube removal and hospital discharge. METHODS: Between 04/2015 and 03/2017, n = 8 patients (n = 4 female) with severe pleural empyema and necrotising lung tissue defects developed prolonged air leak and persistent BPF after surgery...
January 17, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29334967/risk-factors-and-treatment-of-pneumothorax-secondary-to-granulomatosis-with-polyangiitis-a-clinical-analysis-of-25-cases
#19
REVIEW
Xuhua Shi, Yongfeng Zhang, Yuewu Lu
OBJECTIVES: To investigate the risk factors and treatment strategies for pneumothorax secondary to granulomatosis with polyangiitis (GPA). METHOD: Retrospective analysis of cases with pneumothorax secondary to GPA from our own practice and published on literature. RESULTS: A total of 25 patients, 18 males and 7 females, mean age 44 ± 15.7 years, were analyzed. Diagnosis included pneumothorax (11 cases), hydropneumothorax (n = 5), empyema (n = 8) and hemopneumothorax (n = 1)...
January 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29334903/a-rare-case-of-pericarditis-and-pleural-empyema-secondary-to-transdiaphragmatic-extension-of-pyogenic-liver-abscess
#20
Eunae Cho, Sang Woo Park, Chung Hwan Jun, Sang Soo Shin, Eun Kyu Park, Kyo Seon Lee, Seon Young Park, Chang Hwan Park, Hyun Soo Kim, Sung Kyu Choi, Jong Sun Rew
BACKGROUND: Transdiaphragmatic extension of pyogenic liver abscess is the rarest cause of pericarditis and pleural empyema. It is a rapidly progressive and highly lethal infection with mortality rates reaching 100% if left untreated. However, the transmission route, treatment methods and prognosis have not been well studied. CASE PRESENTATION: A 65-year-old male patient presented with a fever, dyspnea, and right upper quadrant abdominal pain. Computed tomography of the chest and abdomen showed huge liver abscess without full liquefaction in the left lobe, large amount of left pleural effusion, and mild pericardial effusion, and the patient was treated with parenteral antibiotics and pigtail insertion at the left pleura...
January 15, 2018: BMC Infectious Diseases
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