12,422 results match your criteria Empyema


Demographic, Clinical Features and Outcome Determinants of Thoracic Trauma in Sri Lanka: A Multicentre Prospective Cohort Study.

Can Respir J 2020 19;2020:1219439. Epub 2020 Jun 19.

National Hospital for Respiratory Diseases, Welisara, Sri Lanka.

Prognostic determinants in thoracic trauma are of major public health interest. We intended to describe patterns of thoracic trauma, demographic factors, clinical course, and predictors of outcome in selected tertiary care hospitals in Sri Lanka. A multicentre prospective cohort study was conducted in five leading teaching hospitals from June to September 2017. Read More

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http://dx.doi.org/10.1155/2020/1219439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322612PMC

Giant chronic calcified subdural empyema: a case report.

J Med Case Rep 2020 Jul 11;14(1):95. Epub 2020 Jul 11.

Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Chronic calcified subdural empyema is an exceedingly rare central nervous system infection with a handful of cases published to date. Reported cases presented with nonspecific clinical signs and symptoms. The duration between the initial onset of symptoms and diagnosis can vary drastically from a few years to up to 46 years. Read More

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http://dx.doi.org/10.1186/s13256-020-02429-2DOI Listing

Image-guided catheter drainage in loculated pleural space collections, effectiveness, and complications.

Lung India 2020 Jul-Aug;37(4):316-322

Department of Radiodiagnosis and Imaging, Government Medical College, Srinagar, Jammu and Kashmir, India.

Introduction: Image-guided drainage is an established technique with a multitude of applications. The indications, techniques, and management of image-guided catheter drainage, however, continue to evolve. Image-guided drainage alone is sometimes sufficient for the treatment of a collection, but it can also act as an adjunct or temporizing measure before definitive surgical treatment. Read More

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http://dx.doi.org/10.4103/lungindia.lungindia_385_19DOI Listing

Strangulated right-sided diaphragmatic hernia presenting and treated as lung empyema: beware of the differential diagnosis.

BMJ Case Rep 2020 Jul 8;13(7). Epub 2020 Jul 8.

Royal Gwent Hospital, Newport, UK.

A 78-year-old man with no surgical history or recent trauma presented to the emergency department with sudden onset right-sided chest pain and dyspnoea. He was admitted under the physicians for investigations and was subsequently diagnosed with empyema of the right thorax. After no improvement with intravenous antibiotics, a chest drain was inserted; no pus was drained. Read More

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http://dx.doi.org/10.1136/bcr-2019-233440DOI Listing

Correction to: A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess.

BMC Infect Dis 2020 Jul 8;20(1):483. Epub 2020 Jul 8.

Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.

An amendment to this paper has been published and can be accessed via the original article. Read More

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http://dx.doi.org/10.1186/s12879-020-05232-yDOI Listing

Comparison of Surgical Stabilization Time in Patients with Flail Chest.

Thorac Cardiovasc Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Thoracic Surgery, Medical School, Ondokuz Mayıs University, Samsun, Turkey.

Background:  This study aimed to compare the clinical outcomes of early and late surgical stabilization of rib fractures (SSRFs) in patients with flail chest.

Methods:  A retrospective analysis was performed on patients with flail chest according to surgical stabilization time of rib fractures (early [≤ 72 hours] and late [>72 hours]). Outcome measures included duration of mechanical ventilation, intensive care unit (ICU) stay, hospital stay, and morbidity and mortality rates. Read More

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http://dx.doi.org/10.1055/s-0040-1713661DOI Listing

Diagnostic value of ultrasound-guided needle biopsy in undiagnosed pleural effusions: A systematic review and meta-analysis.

Medicine (Baltimore) 2020 Jul;99(27):e21076

Department of Respiratory Disease, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health.

Background And Objective: Undiagnosed pleural effusions (UPEs) are a common problem of respiratory medicine, leading to an increased diagnostic burden globally. However, the most efficient and cost-effective approaches to UPEs remain controversial. This study aimed to assess the diagnostic value of ultrasound-guided needle biopsy (UGNB) in UPEs. Read More

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http://dx.doi.org/10.1097/MD.0000000000021076DOI Listing

Intrapleural Fibrinolytic Therapy in Loculated Pleural Effusions.

Authors:
M S Barthwal

J Assoc Physicians India 2020 Jun;68(6):32-34

Professor and Head, Department of Pulmonary Medicine, Dr D Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra.

About 36% to 57% of bacterial pneumonias develop parapneumonic effusion. When the chest tube is correctly positioned as evidenced by postero-anterior and lateral chest radiographs and there is a significant amount of pleural fluid, the major reasons for failed drainage are multiple pleural space loculations or tube obstruction by thick and viscous fluid. The various modalities of treatment available for loculated pleural effusion are: saline flushes, placing one or more catheters in loculi under image guidance, video assisted thoracoscopic surgery (VATS), standard thoracotomy with drainage of empyema and decortication. Read More

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High Occurrence of Thrombo-Embolic Complications During Long-Term Follow-up After Pleural Infections-A Single-Center Experience with 536 Consecutive Patients Over 17 Years.

Lung 2020 Jun 30. Epub 2020 Jun 30.

Department of Cardio-Thoracic Surgery, Tays Heart Hospital, Tampere University Hospital, Ensitie 4, 33520, Tampere, Finland.

Purpose: Pleural infections are associated with significant inflammation, long hospitalizations, frequent comorbidities, and are often treated operatively-all of which are consequential risk factors for thrombo-embolic complications. However, their occurrence following the treatment of pleural infection is still unknown. The aim of the study was to ascertain the early and long-term occurrence of thrombo-embolic events in patients treated for pleural infections. Read More

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http://dx.doi.org/10.1007/s00408-020-00374-xDOI Listing

Combined microsurgical fluorescence for optimizing resection in refractory empyema and cerebritis.

Childs Nerv Syst 2020 Jun 29. Epub 2020 Jun 29.

Department of Neurosurgery, University Hospital Vírgen del Rocío, Sevilla, Sevilla, Spain.

Purpose: Due to the generalization of new microsurgical equipment, intraoperative fluorescence techniques have extended in neurosurgical practice, mainly in neurovascular and neuro-oncology patients. The aim of identifying pathological tissue and also differentiating from the normal brain helps neurosurgeons to approach other kinds of intracranial entities such as infections.

Methods: It is described in the case of an 11-year-old patient who underwent a subdural empyema by performing a craniotomy and evacuation of the purulent collection. Read More

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http://dx.doi.org/10.1007/s00381-020-04762-9DOI Listing

Cytological-energy analysis of pleural effusions with predominance of neutrophils.

Ther Adv Respir Dis 2020 Jan-Dec;14:1753466620935772

Faculty of Medicine and University Hospital in Hradec Kralove, Department of Clinical Immunology and Allergology, Charles University in Prague, Hradec Kralove, Czech Republic.

Background: The predominance of neutrophils in pleural effusions of patients with different serious impairments of the pleural cavity organs is often found. The aim of this study was to identify the type of injury using the cytological-energy analysis of pleural effusions.

Methods: We analysed 635 samples of pleural effusions with predominance of neutrophils. Read More

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http://dx.doi.org/10.1177/1753466620935772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328477PMC

[Surgical treatment of a patient with traumatic rupture of the aortic arch and late oesophageal perforation].

Angiol Sosud Khir 2020 ;26(2):175-182

Department of Vascular Surgery, Municipal Multimodality Hospital #2, Saint Petersburg, Russia.

Described herein is a clinical case report regarding a patient presenting with traumatic rupture of the aortic isthmus with the development of a pseudoaneurysm occupying virtually the entire posterior mediastinum and measuring 20?10 cm in size. He was immediately treated as an emergency to undergo prosthetic reconstruction of the portion of the aortic arch and descending thoracic aorta by means of temporary bypass grafting with a synthetic graft in order to protect the visceral organs. The postoperative period was complicated by oesophageal perforation with the formation of an oesophago-paraprosthetic fistula, infection of the vascular graft, accompanied by the development of pleural empyema and mediastinitis. Read More

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http://dx.doi.org/10.33529/ANGIO2020219DOI Listing
January 2020

A Rare and Challenging Presentation of Empyema Necessitans/Necessitasis Leading to Brachial Plexopathy.

Cureus 2020 May 24;12(5):e8267. Epub 2020 May 24.

Hematology and Oncology, Hamad General Hospital, Doha, QAT.

Empyema necessitasis (EN) also referred to as empyema necessitans (EN) is a rare complication of empyema that can involve soft tissues outside the pleural cavity and can lead to brachial plexus injury. Although, brachial plexus injury most commonly occurs as a result of trauma, inflammation, or malignancies, but it has been rarely seen in EN. We are reporting a rare and challenging case of empyema necessitasis (EN) causing impingement of brachial plexus in a 42-year-old, type 2 diabetic patient, who initially presented to the hospital with left-sided pleuritic chest pain and acute onset of left upper limb weakness. Read More

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http://dx.doi.org/10.7759/cureus.8267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314367PMC

Intrathoracic Muscle Flap Transposition for the Management of Chronic Pulmonary Aspergillosis.

J Plast Reconstr Aesthet Surg 2020 May 26. Epub 2020 May 26.

Division of Plastic Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW Rochester, MN. Electronic address:

Background: The management of chronic pulmonary aspergillosis remains a challenge for thoracic and reconstructive surgeons. Different management options have been proposed with no consensus regarding the best treatment modality. The goal of this study is to report our experience with the use of intrathoracic muscle flaps for the management of pulmonary aspergillosis. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.068DOI Listing

Management of Complications After Lung Resection: Prolonged Air Leak and Bronchopleural Fistula.

Thorac Surg Clin 2020 Aug 17;30(3):347-358. Epub 2020 Apr 17.

Section of General Thoracic Surgery, Department of Surgery, University of California, Davis Health, 2335 Stockton Boulevard, 6th Floor North Addition Office Building, Sacramento, CA 95817, USA. Electronic address:

Prolonged air leak or alveolar-pleural fistula is common after lung resection and can usually be managed with continued pleural drainage until resolution. Further management options include blood patch administration, chemical pleurodesis, and 1-way endobronchial valve placement. Bronchopleural fistula is rare but is associated with high mortality, often caused by development of concomitant empyema. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2020.04.008DOI Listing

Surgical Pulmonary and Pleural Diseases in Children: Lung Malformations, Empyema, and Spontaneous Pneumothorax.

Adv Pediatr 2020 Aug 14;67:145-169. Epub 2020 May 14.

Division of Pediatric Surgery, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Avenue, H4/740 CSC, Madison, WI 53792-7375, USA.

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http://dx.doi.org/10.1016/j.yapd.2020.03.006DOI Listing

Staphylococcus saccharolyticus infection: case series with a PRISMA-compliant systemic review.

Medicine (Baltimore) 2020 Jun;99(26):e20686

Department of Respiratory and Critical Care Medicine.

Background: Staphylococcus saccharolyticus is a rare cause of human infectious disease. The clinical characteristics and treatment of patients with S saccharolyticus infections remain largely unknown.

Objectives: We present the first reported case of empyema due to S saccharolyticus. Read More

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http://dx.doi.org/10.1097/MD.0000000000020686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329013PMC

Clinical spectrum, etiology and outcome of infectious disease emergencies in adult diabetic patients in northern India.

Diabetes Metab Syndr 2020 Jun 12;14(5):921-925. Epub 2020 Jun 12.

Department of Medical Microbiology, PGIMER, Chandigarh, India. Electronic address:

Background And Aims: The patients with diabetes mellitus (DM) have an increased incidence of both common and unusual infections. Despite an increasing prevalence of DM in India, local data on the epidemiology and clinical spectrum of associated infections are lacking. We aimed to investigate the spectrum, etiology, and outcome of infectious disorders in adult patients with DM admitted in a medical emergency. Read More

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http://dx.doi.org/10.1016/j.dsx.2020.06.004DOI Listing

The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study.

Surg Endosc 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, College of Medicine, Konyang University Hospital, Kunyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon, 35365, Republic of Korea.

Background: Although single-incision laparoscopic cholecystectomy (SILC) is a common procedure, the change in its surgical indications and perioperative outcomes has not been analyzed.

Methods: We collected the clinical data of patients who underwent pure SILC in 9 centers between 2009 and 2018 and compared the perioperative outcomes.

Results: In this period, 6497 patients underwent SILC. Read More

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http://dx.doi.org/10.1007/s00464-020-07748-5DOI Listing

Cefiderocol for treatment of an empyema due to extensively drug-resistant : Clinical observations and susceptibility testing considerations.

IDCases 2020 3;21:e00863. Epub 2020 Jun 3.

State University of New York Upstate Medical University, Syracuse, NY, USA.

Cefiderocol is a novel siderophore cephalosporin antibacterial with activity against carbapenem-resistant Gram-negative bacteria including . We report a medically complex patient treated with compassionate use cefiderocol for an empyema caused by extensively drug-resistant as well as clinical considerations for cefiderocol use based on our findings. We observed a potential discordance in cefiderocol susceptibility testing results depending if disk diffusion or iron-depleted cation-adjusted Mueller Hinton Broth dilution is used. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00863DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300106PMC

Endoscopic treatment of bronchopleural fistula using ethyl-2-cyanoacrylate: A report of two cases.

Respir Med Case Rep 2020 10;30:101123. Epub 2020 Jun 10.

Department of General Thoracic Surgery, Sagamihara Kyodo Hospital, Kanagawa, Japan.

Bronchopleural fistula (BPF) is a serious complication after lung resection or chronic empyema. BPF often causes severe pneumonia or fatal airway bleeding due to bronchoarterial fistula. Although BPF often requires surgical treatment, another, more conservative treatment option is endoscopic bronchial occlusion for non-operable patients. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303975PMC

Comparing complications of small-bore chest tubes to large-bore chest tubes in the setting of delayed hemothorax: a retrospective multicenter cohort study.

Scand J Trauma Resusc Emerg Med 2020 Jun 22;28(1):56. Epub 2020 Jun 22.

St. Anthony Hospital, Lakewood, CO, USA.

Background: Previous studies have provided initial data suggesting that small-bore (SB, ≤ 14Fr) chest tubes have the same efficacy as large-bore (LB, > 14 Fr) chest tubes for acute hemothorax (HTX), but data continue to be lacking in the setting of delayed HTX. This study compared complications of SB chest tubes to LB tubes in patients with delayed HTX.

Methods: This was a retrospective observational study across 7. Read More

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http://dx.doi.org/10.1186/s13049-020-00754-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310264PMC

Abdominal Surgery in Patients with COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.

: Multiple tissue samples were obtained during emergent abdominal surgery in four patients with coronavirus disease 2019 (COVID-19) to examine for tissue involvement by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first patient underwent a laparoscopic cholecystectomy for gallbladder empyema and died from severe respiratory failure. The second patient with Crohn's disease underwent emergent laparotomy for a perforation in the terminal ileum and recovered. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004165DOI Listing

Lung abscess and empyema following bronchoscopy: A case report and review of the literature.

Respir Med Case Rep 2020 5;30:101116. Epub 2020 Jun 5.

Department of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore, 11 Jalan Tan Tock Seng Hospital, 308433, Singapore.

Severe pulmonary infections after bronchoscopy and transbronchial lung biopsy (TBLB) are uncommon. We report a rare case of lung abscess and empyema after a routine TBLB performed for the diagnosis of lung cancer. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298523PMC

Gallbladder wall perforation secondary to empyema in Mirizzi's syndrome: An unseen complication. A case report.

Int J Surg Case Rep 2020 Jun 15;72:438-442. Epub 2020 Jun 15.

MRCS(Eng), FCPS(Pak), Dip. Laparoscopic Surgery (France), General Surgery Specialist, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia. Electronic address:

Introduction: Mirizzi's syndrome is a rare but potential complication of long standing gallstone disease, particularly cholecystolithiasis.

Case Presentation: Being described is a case of a 42 year old patient who presented with right upper quadrant pain. Initially sent home as the pain settled but was diagnosed as Mirrizi's syndrome on readmission and was managed accordingly. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306538PMC

Long-term survival after salvage surgery for a giant primary rib osteosarcoma.

Ann Thorac Surg 2020 Jun 15. Epub 2020 Jun 15.

Division of Thoracic Surgery, Department of Surgery, Comprehensive Cancer Center Vienna, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Electronic address:

A 29-year-old woman with a primary rib osteosarcoma declined treatment and was re-admitted 20 months later in life-threatening condition caused by major local tumor progression with severe mediastinal shifting, and without distant metastases. She underwent extended tumor resection in palliative intent and recovered well after a prolonged course with post-pneumonectomy empyema. Any further treatment was declined and she presented again 4. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.116DOI Listing

Influence of pneumococcal vaccination on the hospitalization of healthy pediatric patients due to typical community-acquired pneumonia.

Int J Infect Dis 2020 Jun 14. Epub 2020 Jun 14.

Unidad de Gestión Clínica de Pediatría, Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Málaga, Spain; Grupo de Investigación IBIMA, Departamento de Pediatría y Farmacología, Facultad de Medicina, Universidad de Málaga, Red de Investigación Translacional en Infectología Pediátrica (RITIP), Málaga, Spain; Infectología Pediátrica e Inmunodeficiencias, Unidad de Gestión Clínica de Pediatría, Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Málaga, Spain.

Introduction: Community-Acquired Pneumonia (CAP) is one of the most frequent causes of hospital admission in children. Our objective is to measure the impact of the introduction of pneumococcal conjugate vaccines on the hospitalization of previously healthy children due to CAP.

Method: From 2011-2016 a partially retrospective and prospective and descriptive study was carried out on healthy paediatric patients (3 months - 14 years old) with CAP, who required hospital admission. Read More

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http://dx.doi.org/10.1016/j.ijid.2020.06.034DOI Listing

Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms.

J Laparoendosc Adv Surg Tech A 2020 Jun 17. Epub 2020 Jun 17.

Clínica Las Condes, Las Condes, Chile.

A leak at the esophageal anastomosis can occur in 10%-20% of cases of esophageal atresia (EA). Thoracoscopic repair is trans-pleural, with the potential development of an empyema. Standard treatment of an anastomotic leak in a stable patient is often nonoperative, which can lead to prolonged parenteral nutrition and hospitalization. Read More

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http://dx.doi.org/10.1089/lap.2020.0099DOI Listing

Pediatric Thoracic Empyema-Outcomes of Intrapleural Thrombolytics: Ten Years of Experience.

Glob Pediatr Health 2020 8;7:2333794X20928200. Epub 2020 Jun 8.

Kurdistan Board for Medical Specialties, Erbil, Kurdistan Region, Iraq.

. Pediatric thoracic empyema is a special entity with increasing frequency. Consensus regarding the best management strategy is still evolving. Read More

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http://dx.doi.org/10.1177/2333794X20928200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281637PMC

Risk Factor Evaluation for Methicillin-Resistant and in Community-Acquired Pneumonia.

Authors:
Paul O Lewis

Ann Pharmacother 2020 Jun 16:1060028020935106. Epub 2020 Jun 16.

Johnson City Medical Center, Johnson City, TN, USA.

The 2019 community-acquired pneumonia guidelines recommend using recent respiratory cultures and locally validated epidemiology plus risk factor assessment to determine empirical coverage of methicillin-resistant (MRSA) and . To develop a methodology for evaluating local epidemiology and validating local risk factors for and MRSA. This multicenter, retrospective cohort evaluated adult patients admitted for pneumonia. Read More

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http://dx.doi.org/10.1177/1060028020935106DOI Listing

An Innovative Way to Achieve Safe Lung Deflation During One-Lung Ventilation in a Potential Coronavirus Disease 2019 Patient: A Case Report.

A A Pract 2020 May;14(7):e01244

From the Department of Anesthesiology, Westchester Medical Center, Valhalla, New York.

A novel coronavirus pandemic may be particularly hazardous to health care workers. Airway management is an aerosol-producing high-risk procedure. To minimize the production of airborne droplets, including pathogens such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), from the endotracheal tube during procedures requiring lung deflation, we devised a technique to mitigate the risk of infection transmission to health care personnel. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268880PMC

Bilateral subretinal abscess in community-acquired meticillin-susceptible Staphylococcus aureus infection.

J R Coll Physicians Edinb 2020 03;50(1):42-45

Department of Medicine, JIPMER, Puducherry 605006, India, Email:

Subretinal abscesses due to endogenous staphylococcal blood stream infection is a rare occurrence. A young adult male presented with subretinal abscesses, necrotising pneumonia, pleural empyema, skin and soft tissue infection, muscle abscesses and deep vein thrombosis. Aspirate from one of the abscesses and blood culture revealed meticillin-susceptible Staphylococcus aureus. Read More

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http://dx.doi.org/10.4997/JRCPE.2020.111DOI Listing

Intrathoracic Breast Transposition: A New Method in the Treatment of Bronchopleural Fistula and Empyema.

Plast Reconstr Surg Glob Open 2019 Dec 30;7(12):e2531. Epub 2019 Dec 30.

Medical Imaging Research Group, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.

A bronchopleural fistula (BF) is a life-threatening complication. Optimal management of a BF is still debated although surgery remains the preferred treatment. Usually, the fistula is a result of inadequate healing at the bronchial stump after pneumonectomy. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288868PMC
December 2019

Serotype distribution of in children with invasive disease in Turkey: 2015-2018.

Hum Vaccin Immunother 2020 Jun 12:1-6. Epub 2020 Jun 12.

Department of Microbiology, Kayseri Training and Research Hospital , Kayseri, Turkey.

Objectives: To determine the serotype distribution of pneumococcus causing invasive pneumococcal disease (meningitidis, bacteremia and empyema) in children in Turkey, and to observe potential changes in this distribution in time to guide effective vaccine strategies.

Methods: We surveyed with conventional bacteriological techniques and with real-time polymerase chain reaction (RT-PCR) in samples of cerebrospinal fluid (CSF), blood and pleural fluid. strains were isolated from 33 different hospitals in Turkey, which are giving health services to approximately 60% of the Turkish population. Read More

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http://dx.doi.org/10.1080/21645515.2020.1747931DOI Listing

Chronic subdural hematoma-incidence, complications, and financial impact.

Acta Neurochir (Wien) 2020 Jun 10. Epub 2020 Jun 10.

Department of Neurosurgery, Tampere University Hospital and Tampere University, Tampere, Finland.

Objective: To examine the population-based incidence, complications, and total, direct hospital costs of chronic subdural hematoma (CSDH) treatment in a neurosurgical clinic during a 26-year period. The aim was also to estimate the necessity of planned postoperative follow-up computed tomography (CT).

Methods: A retrospective cohort (1990-2015) of adult patients living in Pirkanmaa, Finland, with a CSDH was identified using ICD codes and verified by medical records (n = 1148, median age = 76 years, men = 65%). Read More

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http://dx.doi.org/10.1007/s00701-020-04398-3DOI Listing
June 2020
1.788 Impact Factor

Hippocratic concepts of acute and urgent respiratory diseases still relevant to contemporary medical thinking and practice: a scoping review.

BMC Pulm Med 2020 Jun 10;20(1):165. Epub 2020 Jun 10.

Faculty of Medicine, University of Crete, Heraklion, Crete, Greece.

Background: The collected works of Hippocrates were searched for concepts on the diagnosis, prognosis, and treatment of acute and urgent respiratory diseases, with the objective to trace their origins in the Hippocratic Collection.

Methods: A scoping review was performed to map out key concepts of acute and severe respiratory diseases in the entire Hippocratic Collection. The digital library Thesaurus Lingua Graeca (TLG) was researched for references in the entire Hippocratic Collection regarding the epidemiology, pathophysiology, prognosis, diagnosis and treatment of acute respiratory diseases; then, the relevant texts were studied in their English translation by the Loeb Classical Library. Read More

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http://dx.doi.org/10.1186/s12890-020-01193-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288510PMC

Low dose intrapleural alteplase and pulmozyme (DNase) in two post-surgical patients with pleural sepsis.

Respir Med Case Rep 2020 29;30:101111. Epub 2020 May 29.

Respiratory Department, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia.

Alteplase and pulmozyme (DNase) administered intrapleurally have revolutionised the management of pleural infection in the last decade. However, the use of intrapleural fibrinolytic has not been well established in high risks patients. Here, we describe 2 patients with high risk of bleeding due to recent surgery who developed empyema; successfully treated with these medications. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270608PMC

Predictive Value of Pleural Cytology in the Diagnosis of Complicated Parapneumonic Effusions and Empyema Thoracis.

Pulm Med 2020 20;2020:7175451. Epub 2020 May 20.

Rocky Mountain Radiologists, 1873 S. Bellaire St, #420. Denver, CO 80222, USA.

Introduction: Complicated parapneumonic effusions (CPE) are distinguished from uncomplicated parapneumonic effusions (UPE) by the ability to resolve without drainage. Determinants include pleural pH, pleural glucose, and pleural LDH, along with microbiologic cultures. Inflammation mediated by neutrophil chemotactic cytokines leads to fibrinous loculation of an effusion, and the degree of this inflammation may lead to a CPE. Read More

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http://dx.doi.org/10.1155/2020/7175451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260643PMC

Bilio-thorax: an unrecognized complication of liver surgery.

Int J Surg Case Rep 2020 14;71:346-348. Epub 2020 May 14.

The Cancer Foundation Hospital, Karachi, Pakistan. Electronic address:

Introduction: Although a rare complication, Biliothorax, or chole-thorax as it has been called in literature, is a devastating entity if not recognized early. Various causes have been reported for biliothorax like inflammatory, abdominal trauma, neoplastic, the most frequent being percutaneous hepatic intervention.

Case: We present the case of a 60 year old male, treated for colon cancer, who developed this complication after liver surgery. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270503PMC

Internal thoracic lymphadenopathy and pulmonary tuberculosis.

Clin Imaging 2020 May 3;67:11-14. Epub 2020 May 3.

Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, United States of America. Electronic address:

Objective: Internal thoracic lymphadenopathy (ITL) has been associated with malignancies and non-tuberculous empyema. However, the association between ITL and active pulmonary tuberculosis (PTB) and the correlation between ITL and other imaging characteristics of active PTB has not been examined.

Materials And Methods: A retrospective cohort study comprising 137 adults with active PTB who had a concomitant chest CT over a seven-year period was conducted. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.04.033DOI Listing

subsp. meningitis, septicemia and subdural empyema in a child.

IDCases 2020 14;21:e00808. Epub 2020 May 14.

Department of Paediatrics and Adolescent Health, Mater Dei Hospital, Triq id-Donaturitad-Demm, MSD2090 Tal-Qroqq, Malta.

subsp. is a group C β-hemolytic streptococcus, and is an invasive pathogen with a very restricted host, causing the equine infection known as 'strangles'. It is a poor colonizer in horses, preferentially causing invasion and infection, compared with its ancestor subsp. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256365PMC

Ertapenem-induced encephalopathy.

BMJ Case Rep 2020 Jun 1;13(6). Epub 2020 Jun 1.

Department of Internal Medicine, SCL Health, Denver, Colorado, USA.

Neurotoxicity is an unusual side effect of carbapenems, and it has been reported most commonly presenting as seizures, encephalopathy and hallucinations. Ertapenem neurotoxicity most classically presents as seizures in patients with end-stage renal disease (estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m). Read More

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http://dx.doi.org/10.1136/bcr-2019-231875DOI Listing

Severe Necrotizing Pneumonia in Children: A Challenge to Intensive Care Specialist.

J Trop Pediatr 2020 May 31. Epub 2020 May 31.

Pediatric Surgery, Sri Balaji Action Medical Institute, New Delhi 110086, India.

Objective: Necrotizing pneumonia (NP) is recently recognized as a complication of pneumonia. The data on NP are scant from developing world and we aimed to describe the characteristic features of NP in our children.

Study Design: Single center retrospective cohort analysis. Read More

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http://dx.doi.org/10.1093/tropej/fmaa027DOI Listing

[Invasive pneumococcal disease and hemolytic uremic syndrome: new serotype].

Arch Argent Pediatr 2020 06;118(3):e305-e308

Hospital Interzonal General Dr. José Penna, Bahía Blanca, Buenos Aires, Argentina.

Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is defined as microangiopathic hemolytic anemia, thrombocytopenia and acute renal injury, in a patient with Streptococcus pneumoniae (Sp) invasive infection. A 2-year-old boy was admitted with pneumonia and empyema. Sp was isolated from blood and pleural fluid cultures. Read More

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http://dx.doi.org/10.5546/aap.2020.e305DOI Listing

From Normal Flora to Brain Abscesses: A Review of .

Front Microbiol 2020 7;11:826. Epub 2020 May 7.

Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Byblos, Lebanon.

is a β-hemolytic Gram-positive member of the group (SAG). Despite being a part of the normal microbiota, it is one of the most common pathogens associated with brain and liver abscesses and thoracic empyema, increasing as a result the morbidity and mortality rates in affected patients. Though there are numerous published case reports on infections, it is still understudied compared to other SAG members. Read More

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http://dx.doi.org/10.3389/fmicb.2020.00826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221147PMC

Surgical Management of an Empyema in a 3-Year-Old Child.

Case Rep Med 2020 5;2020:5179292. Epub 2020 May 5.

Department of Thoracic Surgery, Sismanoglio General Hospital of Athens, Athens, Greece.

empyema in nonimmunocompromised children is rare. A case of surgical management of invasive aspergillosis in a previously healthy 3-year-old child is presented. The patient was initially admitted to a hospital with severe respiratory deterioration and clinical instability, originally attributed to sepsis. Read More

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http://dx.doi.org/10.1155/2020/5179292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225848PMC

Endobronchial Valve Placement for Persistent Air Leaks Secondary to Pulmonary Infections.

J Bronchology Interv Pulmonol 2020 May 22. Epub 2020 May 22.

Division of Pulmonary, Critical Care, and Sleep Medicine, Einstein Medical Center, Philadelphia, PA.

Background: Pneumothoraces associated with infectious diseases have a higher rate of treatment failure and longer length of hospital stay than those associated with obstructive lung diseases and malignancy. Little is mentioned in the medical literature concerning the use of endobronchial 1-way valves in treating alveolar-pleural fistulae (APF) caused by pulmonary infections.

Methods: A 7-year, single-center, retrospective analysis of patients consented for exempted off-label use of the Olympus Spiration Implantable Endobronchial Valve system to control prolonged air leaks at the University of Cincinnati Medical Center. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000689DOI Listing