13,208 results match your criteria Empyema


Surgical Treatment for Empyema Thoracis: Prognostic Role of Preoperative Transthoracic Echocardiography and Serum Calcium.

J Pers Med 2022 Jun 20;12(6). Epub 2022 Jun 20.

Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 1140, Taiwan.

Background: Empyema is a major cause of mortality and hospitalization. Symptoms include difficulty breathing and chest pain. Calcium plays an essential role in the physiology of the cardiovascular system. Read More

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The clinical effectiveness of the STUMBL score for the management of ED patients with blunt chest trauma compared to clinical evaluation alone.

Intern Emerg Med 2022 Jun 23. Epub 2022 Jun 23.

Emergency Medicine Research Group, Department of Emergency Medicine, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, UK.

The STUMBL (STUdy of the Management of BLunt chest wall trauma) score is a new prognostic score to assist ED (Emergency Department) decision making in the management of blunt chest trauma. This is a retrospective cohort chart review study conducted in a UK University Hospital ED seeing 120,000 patients a year, comparing its performance characteristics to ED clinician judgement. All blunt chest trauma patients that presented to our ED over a 6-month period were included. Read More

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Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia.

BMJ Case Rep 2022 Jun 23;15(6). Epub 2022 Jun 23.

Pediatrics, King George's Medical University, Lucknow, Uttar Pradesh, India.

COVID-19 infection in children is relatively mild and is associated with fewer complications compared with adults. Here we report the case of a previously healthy preteen girl who presented with active COVID-19 and shock. On day 1, ultrasound of the thorax revealed a right-sided pleural effusion with haemorrhagic pus on diagnostic tap, which improved clinically with appropriate hospital treatment. Read More

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Acute acalculous cholecystitis and cardiovascular disease, which came first? After two hundred years still the classic chicken and eggs debate: A review of literature.

Ann Med Surg (Lond) 2022 Jun 29;78:103668. Epub 2022 Apr 29.

Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Italy.

The existence of a close association between disease of the biliary tract and disease of the heart is known from the mists of time. Acute acalculous cholecystitis (AAC) can be defined as an acute necro inflammatory disease of the gallbladder in the absence of cholelithiasis. AAC is a challenging diagnosis. Read More

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Intracranial complications of hypercoagulability and superinfection in the setting of COVID-19: illustrative cases.

J Neurosurg Case Lessons 2022 May 23;3(21):CASE22127. Epub 2022 May 23.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Background: Hypercoagulability with thrombosis and associated inflammation has been well-documented in COVID-19, and catastrophic cerebral venous sinus thromboses (CVSTs) have been described. Another COVID-19-related complication is bacterial superinfection, including sinusitis. Here, the authors reported three cases of COVID-19-associated sinusitis, meningitis, and CVST and summarized the literature about septic intracranial thrombotic events as a cause of headache and fever in COVID-19. Read More

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Muscle-Sparing Skin Crease Incision Posterolateral Thoracotomies in Pediatric Patients: Our Experience.

J Indian Assoc Pediatr Surg 2022 May-Jun;27(3):309-316. Epub 2022 May 12.

Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India.

Context: Standard posterolateral muscle cutting thoracotomies in pediatric patients are associated with morbidities in terms of poor motor and esthetic outcomes and also more postoperative analgesia requirement, when compared with muscle-sparing technique.

Aims: The aim of this study is to evaluate the outcomes of muscle-sparing skin crease incision posterolateral thoracotomies in pediatric patients in terms of abovementioned variables.

Settings And Design: This prospective observational study was conducted over a period from January 2016 to July 2020 in a tertiary care teaching institute. Read More

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purulent pericarditis with cardiac tamponade presenting as a complication of postobstructive pneumonia.

BMJ Case Rep 2022 Jun 22;15(6). Epub 2022 Jun 22.

Department of Cardiovascular Disease, Michigan State University, East Lansing, Michigan, USA.

A man in his 60s with stage 3 squamous cell carcinoma of the left lung status postchemotherapy and radiation therapy presented with mixed septic and obstructive shock with multiorgan dysfunction. Initial electrocardiogram showed sinus tachycardia and diffuse concaved ST elevation. Transthoracic echocardiogram revealed pericardial effusion with tamponade physiology. Read More

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Insight into diagnosis of pleural tuberculosis with special focus on nucleic acid amplification tests.

Expert Rev Respir Med 2022 Jun 21. Epub 2022 Jun 21.

Centre for Biotechnology, Maharshi Dayanand University, Rohtak-124001, India.

Introduction: Pleural tuberculosis (TB) is the archetype of extrapulmonary TB (EPTB), which mainly affects the pleural space and leads to exudative pleural effusion. Diagnosis of pleural TB is a difficult task predominantly due to atypical clinical presentations and sparse bacillary load in clinical specimens.

Area Covered: We reviewed the current literature on the globally existing conventional/latest modalities for diagnosing pleural TB. Read More

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A surgical protocol for sinogenic brain abscess: the Oxford experience and a review of the literature.

Rhinology 2022 Jun 21. Epub 2022 Jun 21.

ENT Department, Oxford University Hospital, Oxford, UK.

Background: Rhinosinusitis-induced brain abscesses are rare but can result in devastating long-term sequalae and mortality; they require a high index of suspicion with early imaging to start early empiric parenteral antibiotic treatment covering aerobes and anaerobes.

Methodology: Our study was a retrospective analysis on 32 patients who were treated at Oxford University Hospitals for rhinosinusitis-induced brain abscess between February 2013 and June 2020.

Results: Mean age of presentation was 45. Read More

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A novel therapeutic strategy to close bronchopleural fistula related to in elderly patients: two case reports and literature review.

Ann Transl Med 2022 May;10(10):615

Second Department of Geriatrics Respiratory Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, China.

Background: () empyema complicated with bronchopleural fistula (BPF) remains a significant challenge in diagnosis and treatment and the clinical outcomes are often unsatisfactory, especially in elderly patients. There is a paucity data related to the management of the condition. This is the first well-documented report of the therapeutic experience with bronchoscopic closure of a bronchopleural fistula with empyema related to infection in the elderly patients. Read More

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Laparoscopic repair and total gastrectomy for delayed traumatic diaphragmatic hernia complicated by intrathoracic gastric perforation with tension empyema: a case report.

Surg Case Rep 2022 Jun 20;8(1):117. Epub 2022 Jun 20.

Department of Gastroenterological Surgery, Saku Central Hospital Advanced Care Center, Nagano, Japan.

Background: Blunt traumatic diaphragmatic hernia (TDH) is a complication of blunt diaphragmatic injury. If missed, it could lead to critical presentations, such as incarceration or strangulation of the herniated intra-abdominal organs, and thus, early surgical repair is required. Methods of the operative approach against delayed TDH remain unclear. Read More

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Bleeding risk with combination intrapleural fibrinolytic and enzyme therapy in pleural infection - an international, multicenter, retrospective cohort study.

Chest 2022 Jun 15. Epub 2022 Jun 15.

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Background: Combination intrapleural fibrinolytic and enzyme therapy (IET) has been established as a therapeutic option in pleural infection. Despite demonstrated efficacy, there is a sparsity of studies specifically designed and adequately powered to address complications. The safety profile, the effects of concurrent therapeutic anticoagulation and the nature/extent of non-bleeding complications remain poorly defined. Read More

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Ceftazidime-avibactam and intrapleural amikacin therapy for extensively drug-resistant Pseudomonas aeruginosa thoracic empyema: A case report.

Medicine (Baltimore) 2022 Jun 17;101(24):e29467. Epub 2022 Jun 17.

Division of Infection Diseases, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.

Introduction: Thoracic empyema and concomitant bronchopleural fistula are serious complications of pneumonia. The treatment of empyema caused by extensively drug-resistant Pseudomonas aeruginosa (XDR-PA) has become increasingly challenging.

Patients Concerns And Important Clinical Findings: A 57-year-old woman with controlled schizophrenia developed hospital-associated bacterial pneumonia secondary to P. Read More

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Thyroid Storm in an Adolescent Girl Precipitated by Empyema Thoracis.

Oman Med J 2022 May 31;37(3):e371. Epub 2022 May 31.

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Thyroid storm is a rare, life-threatening condition in children. We report the case of a 16-year-old girl who presented with fever, cough, chest pain, and breathing difficulty. On the initial evaluation, a working diagnosis of left-sided pneumonia with empyema was made. Read More

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A Case of Neglected Frontal Sinusitis Led to Frontal Sinus Empyema with Ocular Complications.

Acta Med Acad 2022 04;51(1):66-67

Department of Otorhinolaryngology, Medical School, Democritus University of Thrace, Greece.

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Sphingomonas Paucimobilis Pneumonia Complicated by Empyema in an Immunocompetent Patient: A Case Report and Concise Review of Literature.

Cureus 2022 May 8;14(5):e24820. Epub 2022 May 8.

Internal Medicine, Miller School of Medicine, University of Miami, Miami, USA.

is an aerobic, Gram-negative bacterium that is found widely in the environment and on hospital equipment. Although this organism usually causes infection in immunocompromised patients, it may cause pulmonary disease in immunocompetent patients, in rare cases. We report a case of pneumonia complicated by empyema in an immunocompetent patient. Read More

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The Role of Surgery in Patients with COVID-19-Related Thoracic Complications.

Front Surg 2022 24;9:867252. Epub 2022 May 24.

Thoracic Surgery, NYU Langone Health, New York, NY, United States.

Objective: Patients with several thoracic complications induced by SARS-CoV-2 infection may benefit from surgery, but its role in this condition is largely unknown, and many surgeons' advice against any surgical referrals. Our aim is to investigate the efficacy and safety of surgery in COVID-19 patients with thoracic complications requiring surgery.

Methods: We designed a multicenter observational study, involving nine thoracic surgery departments, evaluating patients who developed thoracic complications in hospital, surgically managed from March 1, 2020, to May 31, 2021. Read More

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Differential Pneumococcal Growth Features in Severe Invasive Disease Manifestations.

Microbiol Spectr 2022 Jun 9:e0005022. Epub 2022 Jun 9.

Laboratory of Medical Immunology, Radboud Institute of Molecular Life Sciences, Radboudumc Center for Infectious Diseases, Radboudumc, Nijmegen, The Netherlands.

The nasopharyngeal commensal Streptococcus pneumoniae can become invasive and cause metastatic infection. This requires the pneumococcus to have the ability to adapt, grow, and reside in diverse host environments. Therefore, we studied whether the likelihood of severe disease manifestations was related to pneumococcal growth kinetics. Read More

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Surgical Management of Pneumothorax and Pleural Space Disease.

Surg Clin North Am 2022 Jun;102(3):413-427

Division of Thoracic Surgery, Yale School of Medicine, Yale University School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Pleural space diseases constitute a wide range of benign and malignant conditions, including pneumothorax, pleural effusion and empyema, chylothorax, pleural-based tumors, and mesothelioma. The focus of this article is the surgical management of the 2 most common pleural disorders seen in modern thoracic surgery practice: spontaneous pneumothorax and empyema. Read More

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Staphylococcus aureus native mitral valve endocarditis associated with bed bug bites - A case report and review of the literature.

IDCases 2022 20;29:e01517. Epub 2022 May 20.

Internal Medicine department, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

is a leading cause of community acquired bacteremia and infective endocarditis is a part of the normal skin flora in approximately one third of the human population. Infective endocarditis due to can cause several complications and is associated with increased mortality. A 48-year-old female with no significant medical history presented with bacteremia and native mitral valve endocarditis. Read More

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Biliopleural fistula after penetrating thoracoabdominal injury: A case report.

Int J Surg Case Rep 2022 May 27;94:107126. Epub 2022 Apr 27.

Department of cardiothoracic surgery, Addis Ababa University, Ethiopia.

Introduction: Biliopleural fistula is a rare complication of thoraco-abdominal injury. Due to its rarity, the experience of any one surgeon is minimal, there is a paucity of literature regarding optimal treatment. This case report can be an addition to the existing reports to guide surgeons in better understanding and management of such cases. Read More

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Spinal infection with intraspinal abscess or empyema and acute myelopathy: comparative analysis of diagnostics, therapy, complications and outcome in primary care.

Eur J Trauma Emerg Surg 2022 Jun 3. Epub 2022 Jun 3.

Treatment Centre for Spinal Cord Injuries, BG Hospital Unfallkrankenhaus Berlin, Trauma Hospital Berlin, Warener Straße 7, 12683, Berlin, Germany.

Introduction: This study on pyogenic spinal infections with intraspinal epidural involvement (PSI +) compared the outcome of patients with spinal cord injury (SCI) to those without (noSCI) taking diagnostic algorithm, therapy, and complications into account.

Methods: Patients were enrolled in an ambispective study (2012-2017). Diagnostic and therapeutic algorithms, complications, and neurological outcome were analyzed descriptively. Read More

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Candida Empyema in Febrile Neutropenia - Augmented value of direct inoculation into BacT/Alert blood culture vials.

Indian J Med Microbiol 2022 May 30. Epub 2022 May 30.

Medical Oncology, Rajiv Gandhi Cancer Institute, New Delhi, India.

Candida empyema is an uncommon complication of febrile neutropenia. We present 4 such cases which highlight the importance of direct inoculation of body fluids in automated blood culture bottle leading to increased yield. Our cases and review of literature also highlight that echinocandins have poor penetration into pleural fluid; azoles (especially voriconazole) should be preferred as drug of choice. Read More

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Vaping-Induced Sepsis and Rapidly Evolving Pleural Effusion in a Young, Otherwise Healthy Male.

Cureus 2022 May 25;14(5):e25327. Epub 2022 May 25.

Internal Medicine and Nephrology, McLaren Health Care, Michigan State University, Flint, USA.

There have been increasing reports of electronic cigarette (e-cigarette) or vaping use-associated lung injury (EVALI), and the evolving literature demonstrates that the solvents used to dissolve flavors, including vitamin E, may be responsible, at least in part, for the injuries associated with this form of smoking. We present the case of a 26-year-old, otherwise healthy, African American male with a history of heavy use-cigarette use who presented with pleuritic chest pain. He was found to be septic and developed a rapidly accumulating pleural effusion with loculations during his hospitalization. Read More

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A study of microwave ablation for small cell lung cancer.

J Cancer Res Ther 2022 Apr;18(2):399-404

Department of Oncology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Purpose: To reveal the survival and safety of percutaneous microwave ablation (MWA) combined with chemoradiotherapy (CRT) in treating small cell lung cancer (SCLC).

Materials And Methods: Clinical data of 48 SCLC patients who underwent MWA were retrospectively collected; survival and incidence of major complications were analyzed.

Results: Totally, 48 SCLC patients underwent 51 MWA procedures. Read More

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Septic arthritis of the wrist: a retrospective review of 39 cases.

J Hand Surg Eur Vol 2022 May 31:17531934221101805. Epub 2022 May 31.

Department of Hand, Plastic and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Germany.

Level Of Evidence: III. Read More

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Clinical significance of postoperative pulmonary complications in elderly patients with lung cancer.

Interact Cardiovasc Thorac Surg 2022 May 30. Epub 2022 May 30.

Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Objectives: An increasing number of elderly patients with impaired immunity, malnutrition, and comorbidities are considered surgical candidates. This study aimed to clarify the predictive factors and prognostic impact of postoperative pulmonary complications in elderly patients with lung cancer.

Methods: This retrospective study included 188 patients (≥75 years) who underwent complete anatomical lung resection for non-small cell lung cancer between 2005 and 2019. Read More

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Aspergillus pleural empyema in a chronic smoker - A case report and review of literature.

J Mycol Med 2022 May 23;32(4):101299. Epub 2022 May 23.

Division of Infectious Diseases, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Manhasset, New York 11030, USA.

Aspergillus species are ubiquitous saprophytic fungi that are present in the air, water, soil, and decaying vegetables. Clinical features of Aspergillus infection largely depend on the interplay between the fungi and the host immune status. We present a case of a chronic smoker with shortness of breath who was found to have diffuse bronchiectatic changes and empyema of the right lung. Read More

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Association of pneumococcal carriage in infants with the risk of carriage among their contacts in Nha Trang, Vietnam: A nested cross-sectional survey.

PLoS Med 2022 May 31;19(5):e1004016. Epub 2022 May 31.

Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Background: Infants are at highest risk of pneumococcal disease. Their added protection through herd effects is a key part in the considerations on optimal pneumococcal vaccination strategies. Yet, little is currently known about the main transmission pathways to this vulnerable age group. Read More

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