keyword
https://read.qxmd.com/read/38330927/inverted-placement-of-endoscopic-one-way-endobronchial-valve-combined-with-gelfoam-in-the-closure-of-bronchopleural-fistula-with-empyema-in-a-mechanically-ventilated-patient-a-case-report
#21
Jie Liu, Chun Li, Zilong Liu, Ling Ye, Qinjun Shen, Qunying Hong, Yuanlin Song, Maosong Ye
Bronchopleural fistula (BPF) with empyema caused by severe necrotizing pulmonary infection is a complicated clinical problem that is often associated with poor general condition so surgical interventions cannot be tolerated in most cases. Here, we present the successful management of multiple BPF with empyema in a mechanically ventilated patient with aspiration lung abscess. Occlusion utilizing Gelfoam followed by endobronchial valves (EBVs) implanted inverted via bronchoscope decreased the air leaking significantly and made intrapleural irrigation for empyema achievable and safe...
February 8, 2024: Respiration; International Review of Thoracic Diseases
https://read.qxmd.com/read/38323933/thoracic-empyema-aetiology-diagnosis-treatment-and-prevention
#22
REVIEW
Na'im Merchant, Chantal Liu
PURPOSE OF REVIEW: The aim of this study was to review current key points in the aetiology, diagnosis, treatment, and prevention of empyema thoracis. Early postpandemic trends have seen an increasing global incidence and evolution in the aetiology of empyema. Due to varied aetiology and typically lengthy treatment, empyema will be disproportionately affected by the rising tide of antimicrobial resistance (AMR), thus warranting attention and further research. RECENT FINDINGS: Multiple novel biomarkers (e...
May 1, 2024: Current Opinion in Pulmonary Medicine
https://read.qxmd.com/read/38314103/a-novel-approach-involving-reversed-placement-of-endobronchial-valves-combined-with-retrograde-methylene-blue-instillation-for-the-localization-of-multifocal-bronchopleural-fistula
#23
Weihua Xu, Ming Chen, Jiagan Xu, Lei Wang, Congbin Peng, Guohong Mo
The bronchopleural fistula (BPF) is a pathological communication between the bronchus and the pleural space. Diagnosing BPF poses a significant challenge for physicians, particularly when identifying multifocal BPFs. Traditionally, retrograde instillation of methylene blue (MB) into the pleural cavity with simultaneous observation with a bronchoscope has been used to locate a BPF. However, MB instillation is not effective in identifying multifocal BPFs. In this article, we report a new method for locating multifocal BPFs which involves placing the endobronchial valve (EBV) in reverse combined with retrograde MB instillation...
February 2024: Respirology Case Reports
https://read.qxmd.com/read/38314099/complications-of-atypical-pneumonia-a-case-of-legionella-longbeachae-empyema
#24
Amy Samson, Michael J Maze
Legionella longbeachae is the most common cause of Legionnaires' disease in Australasia. Legionella species are considered a rare cause of pleural infection, and empyema and lung abscess due to L. longbeachae has not previously been reported. Our patient presented with a 2-3 week history of breathlessness, lethargy, dry cough and headaches. Initial chest radiograph showed extensive left sided consolidation with an associated pleural effusion. An area of necrotising pneumonia evident on computed tomography scan evolved into a multiloculated intrapulmonary abscess...
February 2024: Respirology Case Reports
https://read.qxmd.com/read/38306531/empyema-caused-by-actinomyces-odontolyticus-a-case-report
#25
JOURNAL ARTICLE
Min Wang, Qianfeng Xiao, Kaige Wang
RATIONALE: Actinomyces odontolyticus causes a rare, chronic granulomatous infection that is frequently associated with immunocompromised states. A odontolyticus can cause infection in multiple organs, but empyema is rare. PATIENT CONCERNS: We report a case of empyema caused by A odontolyticus. The patient was a 64-year-old man. He was admitted to the hospital with a 5-day history of fever and dyspnea. He had caries and sequelae of cerebral apoplexy. DIAGNOSES: Metagenome next generation sequencing of pleural effusion was positive for A odontolyticus...
February 2, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38304314/first-report-of-a-post-pneumonectomy-nocardia-empyema
#26
Jonathan A Nakata, Azzan Arif, Louis F Chai, Stacey Su
Post-pneumonectomy empyema (PPE) is an uncommon but serious complication that carries significant therapeutic challenges. We present a late-onset PPE due to Nocardia nova in an immunocompetent individual. Nine years after a right pneumonectomy for non-small cell lung cancer, surveillance scans revealed new right pleural thickening and FDG avidity concerning for recurrence. Thoracoscopic pleural biopsies were negative for malignancy, but tissue cultures grew N. nova . Nocardia empyema is rare with few reported cases...
January 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38303733/successful-treatment-of-streptococcal-toxic-shock-syndrome-complicated-by-primary-peritonitis-and-bilateral-empyema-in-a-healthy-young-woman-identification-of-uncommon-clone-emm103-and-novel-sequence-type-1363
#27
Yoshihiko M Sakaguchi, Koichiro Murakami, Hiroyuki Akebo, Ryuichi Minoda Sada, Noriyuki Abe, Takahiro Maeda, Mieko Goto, Takashi Takahashi, Yusuke Takahashi, Eriko Kashihara, Jaegi Shim, Hirofumi Miyake, Kazuhiro Hatta
Streptococcal toxic shock syndrome (STSS) has a dramatic clinical course and high mortality rate. Here, we report a case of STSS complicated by primary peritonitis and bilateral empyema. A previously healthy young woman was diagnosed with STSS complicated by primary peritonitis and bilateral empyema. Blood culture results on admission were negative. Sever shock, respiratory failure, systemic inflammation, thrombocytopenia, renal failure, ascites, and pleural effusion occurred, mimicking thrombocytopenia, anasarca, fever, reticulin fibrosis/renal failure and organomegaly (TAFRO) syndrome...
2024: IDCases
https://read.qxmd.com/read/38302885/empyema-necessitans-caused-by-methicillin-resistant-staphylococcus-aureus-a-case-report-and-literature-review
#28
REVIEW
Tomoaki Nakamura, Kazuhiro Ishikawa, Naoki Murata, Kuniko Sato, Atsushi Kitamura, Nobuyoshi Mori, Torahiko Jinta
BACKGROUND: Empyema necessitans (EN) is a rare condition characterized by pleural infection with pus spreading into adjacent soft tissues. Although Mycobacterium tuberculosis and Actinomyces israelii are common causative agents, methicillin-resistant Staphylococcus aureus (MRSA) is relatively rare, but it is associated with high mortality in empyema cases. We aimed to report a unique case of EN caused by MRSA and present a literature review to better understand this rare condition. CASE PRESENTATION: A 69-year-old man with a history of right ureteral stone presented with fever and left anterior thoracic pain...
February 1, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38301148/empyema-secondary-to-pneumonia-whom-should-we-operate
#29
JOURNAL ARTICLE
Daniel Lichtenstein, Vadim Smolyakov, Yael Refaely, Ibrahim Mashni, Li Or Lazar, Guy Pines
Introduction: Empyema secondary to pneumonia is a common condition. A significant number of patients will require surgical intervention for drainage and decortication. The aim of this study was to identify predictive factors for surgical intervention. Materials and Methods: The medical records of patients who were diagnosed with empyema secondary to pneumonia between the years 2010 and 2019 in a university hospital were included in the study. Patients who underwent surgical intervention were defined as group A and nonoperative treatment as group B...
February 1, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38292625/pleural-empyema-with-endobronchial-mass-due-to-rhodococcus-equi-infection-after-renal-transplantation-a-case-report-and-review-of-literature
#30
Guo-Fu Liang, Sheng Chao, Zhou Sun, Ke-Jing Zhu, Qian Chen, Lei Jia, Yu-Lin Niu
BACKGROUND: Kidney transplantation is the best option for patients with end-stage renal disease. However, the need for lifelong immunosuppression results in renal transplant recipients being susceptible to various infections. Rhodococcus equi ( R. equi ) is a rare opportunistic pathogen in humans, and there are limited reports of infection with R. equi in post-renal transplant recipients and no uniform standard of treatment. This article reports on the diagnosis and treatment of a renal transplant recipient infected with R...
January 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38291447/salvage-treatment-of-acute-respiratory-failure-after-autogenous-tissue-flap-transplantation-for-chronic-empyema-with-chest-wall-sinus-a-case-report-and-literature-review
#31
JOURNAL ARTICLE
Lei Wang, Fei Chen, Zhongliang He, Xueming He, Chun Zhang
BACKGROUND: Chronic empyema with chest wall sinus is a difficult and complex disease caused by multiple causative factors. It is difficult to control local infection due to its possible combination of bronchopleural fistula (BPF) and residual bone.The relevant literature emphasizes some risk factors for empyema progression after pneumonectomy, while the correlation between empyema and BPF after pneumonectomy increases mortality by infecting the remaining lungs. After pneumonectomy, the lung function of the contralateral side is particularly important...
January 30, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38285188/-complications-after-conservative-vs-operative-treatment-of-severe-thoracic-trauma
#32
REVIEW
Lars Becker, Marcel Dudda, Christof Schreyer
BACKGROUND: Thoracic trauma is a frequent injury in the routine treatment of injured patients. Due to the increasing demographic changes a further increase is to be expected, especially after low-energy trauma. OBJECTIVE: Expected complications after conservative vs. operative treatment of various injury patterns of thoracic trauma. MATERIAL AND METHODS: Evaluation of a selective literature search regarding possible complications after thoracic trauma and formulation of instructions for action as expert recommendations...
January 29, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38272004/photon-counting-computed-tomography-with-the-radiation-dose-of-a-chest-x-ray-feasibility-and-diagnostic-yield
#33
JOURNAL ARTICLE
Sabine Dettmer, Thomas Werncke, Violeta Nikolova Mitkovska, Torben Brod, Oana Joean, Jens Vogel-Claussen, Frank Wacker, Tobias Welte, Jessica Rademacher
INTRODUCTION: Photon counting (PC) detectors allow a reduction of the radiation dose in CT. Chest X-ray (CXR) is known to have a low sensitivity and specificity for detection of pneumonic infiltrates. The aims were to establish an ultra-low-dose CT (ULD-CT) protocol at a PC-CT with the radiation dose comparable to the dose of a CXR and to evaluate its clinical yield in patients with suspicion of pneumonia. METHODS: A ULD-CT protocol was established with the aim to meet the radiation dose of a CXR...
January 25, 2024: Respiration; International Review of Thoracic Diseases
https://read.qxmd.com/read/38269312/a-case-of-attempted-transbronchial-spigot-insertion-for-fistulous-pyothorax-in-the-residual-pleural-airspace-after-pleurectomy-decortication-for-malignant-pleural-mesothelioma
#34
Ryo Miyata, Shoichiro Morizono, Tadashi Umehara, Aya Harada-Takeda, Go Kamimura, Masaya Aoki, Toshiyuki Nagata, Kazuhiro Ueda
Pleurectomy/decortication for malignant pleural mesothelioma is a relatively recent surgical approach for which there is a dearth of information on complications, especially in the late postoperative period. A 70-year-old man was diagnosed with right epithelioid malignant pleural mesothelioma and underwent pleurectomy/decortication. Computed tomography at 6 months after surgery revealed nodules on the surface of the right lung. These nodules gradually increased in size and were diagnosed as recurrent disease...
January 2024: Respirology Case Reports
https://read.qxmd.com/read/38264874/causes-management-and-treatment-of-empyema
#35
JOURNAL ARTICLE
Michele Piazzolla, Pasquale Tondo
Infections in the pleural space have been a significant problem since ancient times and continue to be so today, with an incidence of 52% in patients with post-pneumonia syndrome. Typically, these effusions require a combination of medical treatment and surgical drainage, including debridement and decortication. Researchers have been studying the use of intrapleural fibrinolytics in managing complicated pleural effusions and empyema, but there is still ongoing debate and controversy among clinicians. Empyema has traditionally been considered a surgical disease, with antibiotics and chest tube drainage being the initial treatment modality...
January 24, 2024: Minerva surgery
https://read.qxmd.com/read/38262219/how-can-i-treat-calcified-chronic-pleural-empyema-in-african-context-a-case-report
#36
Sani Rabiou, Aliou Zabeirou, Mariouane Lakranbi, Yassine Ouadnouni, Mohamed Smahi
INTRODUCTION AND IMPORTANCE: Despite the chance of a complete cure that surgery offers for patients seen early, the management of some complicated forms of chronic pyothorax with calcified pleural pockets of tuberculosis origin is risky, if not impossible. In these conditions, thoracomyoplasty with complete effacement of the pleural pocket is an effective alternative in the surgical management of these pockets. CASE PRESENTATION: We report the case of a 37-year-old male African Arab who was treated for a chronic, calcified pleural pocket of tuberculous origin and in whom low thoracomyoplasty was performed because of the impossibility of performing a left pleuropneumonectomy...
January 21, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38255434/imaging-of-acute-complications-of-community-acquired-pneumonia-in-the-paediatric-population-from-chest-radiography-to-mri
#37
REVIEW
Efthymia Alexopoulou, Spyridon Prountzos, Maria Raissaki, Argyro Mazioti, Pablo Caro-Dominguez, Franz Wolfgang Hirsch, Jovan Lovrenski, Pierluigi Ciet
The most common acute infection and leading cause of death in children worldwide is pneumonia. Clinical and laboratory tests essentially diagnose community-acquired pneumonia (CAP). CAP can be caused by bacteria, viruses, or atypical microorganisms. Imaging is usually reserved for children who do not respond to treatment, need hospitalisation, or have hospital-acquired pneumonia. This review discusses the imaging findings for acute CAP complications and the diagnostic role of each imaging modality. Pleural effusion, empyema, necrotizing pneumonia, abscess, pneumatocele, pleural fistulas, and paediatric acute respiratory distress syndrome (PARDS) are acute CAP complications...
January 18, 2024: Children
https://read.qxmd.com/read/38252050/neonatal-severe-covid-19-infection-complicated-by-staphilococcus-aureus-could-be-misinterpreted-as-mis-c-case-report-and-review-of-literature
#38
REVIEW
Giovanna Stringari, Laura Nai Fovino, Aldo Naselli, Francesca Tota, Michela Capogna, Silvia Graziani, Massimo Soffiati
At 23 days of life a neonate presented to the emergency room with crying and decreased oral intake. His parents were positive to SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), but he turned out negative. After one week he was admitted to NICU (neonatal intensive care unit) for respiratory failure, and nasopharyngeal swab (PCR test: polymerase chain reaction test) was positive for SARS-CoV-2. On examination the child had fever, tachy-dyspnea, reduced oxygen saturation, tachycardia, abdominal distension and tenderness, irritability and hypertonia...
January 2024: New Microbiologica
https://read.qxmd.com/read/38249872/chest-wall-reconstruction-after-the-clagett-procedure-and-other-types-of-open-window-thoracostomy-a-narrative-review
#39
REVIEW
Alieske Kleeven, Seth Rianna P van der Hel, Yasmine M J Jonis, Jairo J A Profar, Jean H T Daemen, Erik R de Loos, René R W J van der Hulst, Shan Shan Qiu
BACKGROUND AND OBJECTIVE: The Clagett procedure is one of the last treatment options for chronic stage pleural empyema. It involves the formation of an open-window in the thoracic wall to allow for continuous drainage and irrigation of the pleural cavity. Once the empyema has been resolved, reconstruction of the chest wall is sometimes challenging. This review aims to identify and summarize the options for reconstructing soft tissue defects of the chest wall following the Clagett procedure and other types of open-window thoracostomy...
December 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38220541/point-of-care-lung-ultrasound-diagnosis-of-concomitant-lung-abscess-and-pleural-empyema-due-to-a-bronchopleural-fistula
#40
JOURNAL ARTICLE
Adrien Rivory, Gary Duclos, Laurent Zieleskiewicz
No abstract text is available yet for this article.
January 13, 2024: Medicina intensiva
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