12,832 results match your criteria Empyema


One-Lung Ventilation in a Patient With Necrotizing Pneumonia Complicated by a Bronchopleural Fistula.

Cureus 2021 May 20;13(5):e15138. Epub 2021 May 20.

Internal Medicine, Westside Regional Medical Center, Plantation, USA.

A 32-year-old male with morbid obesity presented to the emergency department with a one-week history of shortness of breath and productive cough. This patient had previously been evaluated at an urgent care facility, diagnosed with pneumonia, and prescribed oral antibiotics. This patient's worsening shortness of breath and productive cough led this patient to seek further care at the emergency department. Read More

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Subdural false twins: concomitant appearance of subdural haematoma and spontaneous subdural empyema.

BMJ Case Rep 2021 Jun 21;14(6). Epub 2021 Jun 21.

Neurosurgery, Hospital and University Center of Coimbra EPE, Coimbra, Portugal.

A 55-year-old man was taken to the emergency department due to right arm weakness for the past 3 days and fever (39.5°C). There was no impaired consciousness, no history of trauma and meningeal signs were absent on physical examination. Read More

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Whole-Genome Analysis of Streptococcus pneumoniae Serotype 4 Causing Outbreak of Invasive Pneumococcal Disease, Alberta, Canada.

Emerg Infect Dis 2021 Jul;27(7):1867-1875

After the introduction of pneumococcal conjugate vaccines for children, invasive pneumococcal disease caused by Streptococcus pneumoniae serotype 4 declined in all ages in Alberta, Canada, but it has reemerged and spread in adults in Calgary, primarily among persons who are experiencing homelessness or who use illicit drugs. We conducted clinical and molecular analyses to examine the cases and isolates. Whole-genome sequencing analysis indicated relatively high genetic variability of serotype 4 isolates. Read More

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Bronchopleural fistula in a 5- years old child with novel CARMIL 2 mutation: A rare disease and a rare case.

Ann Med Surg (Lond) 2021 Jun 6;66:102443. Epub 2021 Jun 6.

Department of Pediatric Thoracic Surgery and Intensive Care Medicine, Infectious Disease, and Immunology, Maternity and Children Hospital, Dammam, Saudi Arabia.

A five year girl had eczema and allergic rhinitis in the past, presented with a history of cough, shortness of breath for the last one month. Her chest -X-ray showed a left side pleural effusion, and a computed tomographic scan (CT) of the chest showed left side hydropneumothorax. Left side 21 Fr drain was inserted. Read More

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Diagnostic complexity in the older patient: an unusual presentation of advanced biliary disease.

Age Ageing 2021 Jun 18. Epub 2021 Jun 18.

Consultant in Geriatric Medicine, Department of Geriatric Medicine, Doncaster Royal Infirmary, Doncaster DN2 5LT, UK.

Biliary disease is common in the older population, and gallbladder dysfunction and increased bile lithogenicity predispose to calculi formation. This case demonstrates an unusual presentation of gallbladder empyema. A 90-year-old male with metastatic prostate cancer presented with hypoactive delirium. Read More

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Combined influence of practice guidelines and prospective audit and feedback stewardship on antimicrobial treatment of community-acquired pneumonia and empyema in children: 2012 to 2016.

Paediatr Child Health 2021 Jul 30;26(4):234-241. Epub 2020 Jun 30.

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario.

Background: Aminopenicillins are recommended empiric therapy for community-acquired pneumonia (CAP). The aim of the study was to assess treatment over a 5-year period after CAP guideline publication and introduction of an antimicrobial stewardship program (ASP).

Methods: Using ICD-10 discharge codes for pneumonia, children less than 18 years admitted to the Children's Hospital of Eastern Ontario January 1, 2012 and December 31, 2016 were identified. Read More

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Short- and long-term outcomes of thoracoscopic pneumonectomy - single center experience.

Wideochir Inne Tech Maloinwazyjne 2021 Jun 25;16(2):369-376. Epub 2021 Feb 25.

Department of Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Introduction: The video-assisted thoracic surgery (VATS) approach is widely used for pulmonary lobectomy, but its application for pneumonectomy is much less common and outcomes are ambiguous.

Aim: To evaluate the feasibility and outcomes of VATS pneumonectomy.

Material And Methods: This retrospective study included 19 patients with the mean age of 62. Read More

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[Indications for and Limits of conservative Treatment in Hand Infections].

Handchir Mikrochir Plast Chir 2021 Jun 16;53(3):231-236. Epub 2021 Jun 16.

Malteser Krankenhaus Seliger Gerhard Bonn/Rhein-Sieg, Klinik für Hand- und Plastische Chirurgie.

The treatment of infections of the hand is an important part in hand surgery. Despite oft new antibiotic therapy there is a major part of surgical intervention. But there are certain cases in which a conservative treatment is indicated if a closed control is provided. Read More

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Intrapleural Foreign Body: Case Report.

Respiration 2021 Jun 16:1-4. Epub 2021 Jun 16.

Department of Internal Medicine, Pulmonary Diseases Unit, Azienda Ospedali Riuniti, Ancona, Italy.

The detection of foreign bodies in the pleural cavity is rare and mostly consequent to iatrogenic or traumatic events. The migration of an inhaled foreign body from the airways to the pleural space through a bronchopleural fistula is an exceptional event. We report a case of a pleural empyema consequent to an inhaled wooden skewer. Read More

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Are muscle parameters obtained by computed tomography associated with outcome after esophagectomy for cancer?

Clin Nutr 2021 May 1;40(6):3729-3740. Epub 2021 May 1.

Department of Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Background & Aims: Esophageal cancer patients often suffer from cancer-related malnutrition and, as a result, sarcopenia. Whether sarcopenia worsens the outcome after esophagectomy is unclear. Inconsistent study results are partly caused by varying cut-off values used for defining sarcopenia. Read More

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Association between obligatory anaerobes and empyema caused by Streptococcus anginosus group bacteria.

Respir Investig 2021 Jun 10. Epub 2021 Jun 10.

Department of Respiratory Medicine, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8501, Japan.

Co-infections of Streptococcus anginosus group (SAG) bacteria and obligate anaerobes are observed in patients with empyema; however, their epidemiology and pathology remain unknown. A retrospective study was performed with 44 patients who underwent pleural effusion microbiota evaluation between January 2006 and March 2018, using the clone library method for detecting empyema caused by SAG bacteria. Based on culture analysis of pleural effusion, 12 patients were diagnosed with empyema caused by SAG bacteria. Read More

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3 Tesla MRI in diagnosis and follow up of children with pneumonia.

Clin Imaging 2021 Jun 1;79:213-218. Epub 2021 Jun 1.

Ondokuz Mayis University Faculty of Medicine, Department of Biostatistics and Medical Informatics, Samsun, Turkey.

Purpose: To investigate the utilization of 3-Tesla (3 T) magnetic resonance imaging (MRI) in detection of pulmonary abnormalities in children with pneumonia.

Materials And Methods: Forty-seven children with pneumonia prospectively underwent 3 T thoracic MRI and posteroanterior (PA) chest radiography (CR). Of these, 15 patients also underwent contrast-enhanced thorax computed tomography (CT) or high-resolution CT (HRCT). Read More

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Risk factors associated with postoperative respiratory failure in tuberculous empyema patients.

Medicine (Baltimore) 2021 Jun;100(23):e25754

Department of Thoracic Surgery.

Abstract: Our objective was to identify independent risk factors for predicting which patients in the Chinese population would likely develop respiratory failure.A descriptive analysis was conducted of demographic and clinical data of patients with tuberculous empyema (TE) admitted to the Beijing Chest Hospital, Capital Medical University between January 2001 and January 2020. Risk factors associated with postsurgical respiratory failure in TE patients were identified based on results of analyses based on univariable and multivariable logistic regression models. Read More

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Novel strategy to treat lung metastases: Hybrid therapy involving surgery and radiofrequency ablation.

Thorac Cancer 2021 Jun 9. Epub 2021 Jun 9.

Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, Japan.

Background: This study was performed to evaluate the clinical outcomes of hybrid treatment involving surgical resection and percutaneous radiofrequency ablation for patients with multiple lung metastases.

Methods: Seventeen patients (6 men, 11 women; median age, 52 years; range, 16-78 years) underwent hybrid treatment involving surgery and radiofrequency ablation to treat multiple lung metastases (median number, 4; range, 2-26) between May 2014 and February 2020. The primary lesions were colorectal carcinoma (n = 9), uterine endometrial carcinoma (n = 3), osteosarcoma (n = 2), renal cell carcinoma (n = 1), glottic carcinoma (n = 1), and fibrolamellar hepatocellular carcinoma (n = 1). Read More

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Cerebrospinal fluid analysis lacks diagnostic specificity in dogs with vestibular disease.

Vet Rec 2021 Jun 7:e557. Epub 2021 Jun 7.

Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, UK.

Background: Although, vestibular syndrome is a common neurological presentation, little is known about the diagnostic value of cerebrospinal fluid (CSF) analysis in vestibular syndrome in dogs.

Methods: Medical records were retrospectively reviewed, and dogs with vestibular disease that had undergone magnetic resonance imaging of the head, CSF analysis and were diagnosed with central or peripheral vestibular syndrome were included. Disorders affecting the central vestibular system included meningoencephalitis of unknown origin (MUO), brain neoplasia, ischaemic infarct, intracranial empyema or metronidazole toxicity. Read More

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Case Report: COVID-19 Pneumonia Following Left Pneumonectomy for Lung Cancer Complicated by Empyema and Bronchopleural Fistula.

Front Surg 2021 21;8:679757. Epub 2021 May 21.

Department of Surgery, University of Milan, Milan, Italy.

Venous and arterial thromboembolism is commonly reported in critically ill COVID-19 patients, although there are still no definitive statistical data regarding its incidence. we report a case of a patient who fell ill with Covid during hospitalization for a pneumonectomy complicated by empyema and bronchopleural fistula. The patient, despite being cured of COVID, died after 14 days for pulmonary thromboembolism. Read More

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Spontaneous Rupture of Empyema Necessitans in the Emergency Department.

Cureus 2021 May 3;13(5):e14822. Epub 2021 May 3.

Emergency Medicine, California University of Science and Medicine, Colton, USA.

An empyema necessitans is a rare complication of a collection of purulent material in the pleural space that spreads outside of the pleural cavity and involves the soft tissues of the chest wall. Due to compression forces created by the size of the collection of empyema in the chest cavity, patients are usually symptomatic and present with severe dyspnea. Chest X-ray or ultrasound of the chest cavity are the ideal screening tools to visualize the empyema and followed by computerized tomography scan of the chest to confirm the presence and extent of the pathology. Read More

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Pleural empyema caused by .

New Microbes New Infect 2021 May 29;41:100892. Epub 2021 Apr 29.

Department of Thoracic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium.

was first identified in 1995. To the best of our knowledge, pleural empyema caused by has never been reported. In the case reported herein, a patient with pleural empyema was treated surgically, and in the bacterial samples, was isolated. Read More

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Successful endobronchial occlusion in empyema with broncho-pleural fistula secondary to COVID-19 pneumonia: a case report and literature review.

Respirol Case Rep 2021 Jul 26;9(7):e00785. Epub 2021 May 26.

Division of Thoracic Surgery Kansai Medical University Medical Center Moriguchishi Japan.

A few cases of empyema secondary to coronavirus disease 2019 (COVID-19) pneumonia have been reported. Here, we report our experience of a successful endobronchial occlusion using endobronchial Watanabe spigots (EWSs) for empyema with broncho-pleural fistula secondary to COVID-19 pneumonia. A 62-year-old man was diagnosed with COVID-19 and progressed to empyema with broncho-pleural fistula. Read More

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Surgical Occlusion of Leaking Bronchus by a Serratus Anterior Flap in a Child with Langerhans Cell Histiocytosis.

J Indian Assoc Pediatr Surg 2021 Mar-Apr;26(2):123-125. Epub 2021 Mar 4.

Department of Paediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Langerhans cell histiocytosis is an uncommon disease of childhood. Intrathoracic transposition flaps have been described for a management of number of conditions. We discuss our experience of the use of serratus anterior flap for the obliteration of a pulmonary bulla with a communicating airway, in a 1½-year-old pediatric patient with multisystem Langerhans cell histiocytosis who presented with recurrent pneumothorax with empyema due to rupture of bullae. Read More

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Surgical management of a COVID-19-associated necrotic pneumonia.

BMJ Case Rep 2021 Jun 2;14(6). Epub 2021 Jun 2.

Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.

At the outset of the pandemic, SARS-CoV-2 was thought to present simply as persistent cough and fever. However, with time, the medical community noted a myriad of associated symptoms well-described in the literature. Medical complications were particularly common in elderly populations and many early publications described pneumonia, organ failure, acute respiratory distress syndrome, hypercoagulability/microthrombosis and superimposed bacterial/viral infections. Read More

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Pleural Infection Caused by Nocardia farcinica: Two Cases and Review of the Literature.

Cureus 2021 Apr 26;13(4):e14697. Epub 2021 Apr 26.

Internal Medicine, Arnau de Vilanova University Hospital, Lleida, ESP.

is a rare Nocardia species causing localized (lung, brain, skin) and disseminated infections. Predisposing factors include the chronic use of corticosteroids, organ transplantation and other immunocompromise conditions. Pleural empyema caused by this microorganism has scantily been reported. Read More

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Assessment of nasopharyngeal Streptococcus pneumoniae colonization does not permit discrimination between Canadian children with viral and bacterial respiratory infection: a matched-cohort cross-sectional study.

BMC Infect Dis 2021 May 31;21(1):509. Epub 2021 May 31.

Department of Laboratory Medicine, St. Joseph's Healthcare Hamilton, 50 Charlton Ave. E, Hamilton, Ontario, L8N 4A6, Canada.

Background: Readily-available diagnostics do not reliably discriminate between viral and bacterial pediatric uncomplicated pneumonia, both of which are common. Some have suggested that assessment of pneumococcal carriage could be used to identify those children with bacterial pneumonia. The objective of this study was to determine if nasopharyngeal pneumococcal colonization patterns differed between children with definite viral disease, definite bacterial disease, and respiratory disease of indeterminate etiology. Read More

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[Ankylosing hyperostosis of the spine (Forestier's disease) as rare cause of dysphagia with a severe complication of pleural empyema].

Z Gerontol Geriatr 2021 May 31. Epub 2021 May 31.

Diagnostische und interventionelle Radiologie, Campus Duisburg, Helios Klinikum Duisburg, Duisburg, Deutschland.

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Treatment of Chylothorax complicating pulmonary resection with hypertonic glucose Pleurodesis.

J Cardiothorac Surg 2021 May 28;16(1):149. Epub 2021 May 28.

Department of Thoracic Surgery, First Hospital of Jilin University, Xinmin street 71, Chang Chun, 130021, People's Republic of China.

Background: To retrospectively assess the efficacy of hypertonic glucose pleurodesis for treatment of chylothorax after pulmonary resection.

Methods: Out of a total of 8252 patients who underwent pulmonary resection (at least lobectomy) at department of thoracic surgery, between June 2008 and December 2015, 58 patients (0.7%) developed postoperative chylothorax. Read More

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Free vastus lateralis muscle flap transplantation for postoperative chronic empyema: retrospective analysis of eight case series.

Ann Palliat Med 2021 May 14;10(5):5046-5054. Epub 2021 May 14.

Department of Cardiothoracic Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China.

Background: Postoperative chronic empyema (PPE) remains a complex challenge for thoracic surgeons. We retrospectively investigated patients with PPE who were treated with free vastus lateralis muscle flap transplantation, and report our results.

Methods: Eight patients with PPE and persistent bronchopleural fistula (BPF) treated in our hospital from January 2015 to June 2019 were retrospectively analyzed, the time since onset of empyema ranged from 5 to 72 months. Read More

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A Comparison of Negative Pressure and Conventional Therapy in Infected Open Chest Wounds.

Surg Infect (Larchmt) 2021 May 26. Epub 2021 May 26.

Division of Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

The role of negative pressure wound therapy (NPWT) in the management of open chest wounds is unclear. Our aim was to determine the safety and efficacy of NPWT compared with conventional therapy for open chest wounds. Ten patients with infected open chest wounds were included in a prospective trial of NPWT after surgical debridement. Read More

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Modified capitonnage technique for giant pulmonary hydatid cyst surgery.

Interact Cardiovasc Thorac Surg 2021 May 26. Epub 2021 May 26.

Department of Thoracic Surgery, Ataturk University, School of Medicine, Erzurum, Turkey.

Objectives: This study investigated the effectiveness of the modified technique (Aydin Technique), which was applied for capitonnage in the surgical treatment of giant pulmonary hydatid cysts.

Methods: Twenty-two cases were operated on for giant hydatid cysts with a total of 23 modified techniques for capitonnage (bilateral giant hydatid cyst in 1 case) in our clinic between January 2018 and December 2020. The demographic data were recorded. Read More

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Sinonasal polyposis complicated with extradural abscess and lateral rectus palsy.

BMJ Case Rep 2021 May 26;14(5). Epub 2021 May 26.

ENT & Head and neck surgery, All India Institute of Medical Sciences, New Delhi, India.

Sinogenic intracranial and orbital complications are infrequent complications of chronic rhinosinusitis with nasal polyposis (CRSwNP), leading to potentially fatal intracranial and orbital sequelae. The mortality and morbidity associated with these complications remain high despite the widespread use of antibiotics. We report a patient with CRSwNP presenting with acute onset extradural empyema and sixth nerve palsy in whom the diagnosis was delayed, necessitating early surgical intervention. Read More

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The Amplatzer device and pedicle muscle flap transposition for the treatment of bronchopleural fistula with chronic empyema after lobectomy: two case reports.

World J Surg Oncol 2021 May 26;19(1):158. Epub 2021 May 26.

Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, 310012, Zhejiang, China.

Background: Bronchopleural fistula (BPF) refers to an abnormal channel between the pleural space and the bronchial tree. It is a potentially fatal postoperative complication after pulmonary resection and a complex challenge for thoracic surgeons because many patients with BPF ultimately develop refractory empyema, which is difficult to manage and has a major impact on quality of life and survival. Therefore, an operative intervention combined with conservative and endoscopic therapies may be required to control infection completely, to occlude BPF, and to obliterate the empyema cavity during treatment periods. Read More

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