11,965 results match your criteria Empyema


Complicated pneumococcal pneumonia with pleural effusion or empyema in the 13-valent pneumococcal conjugate vaccine era.

Pediatr Pulmonol 2019 Feb 19. Epub 2019 Feb 19.

CIBER de Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.

Aim: The aim was to analyze the epidemiological, microbiological and clinical characteristics of patients with complicated pneumococcal pneumonia with pleural effusion (PE) or empyema.

Method: Prospective study in three Catalan hospitals in persons aged <18 years diagnosed with complicated pneumonia with PE or empyema with isolation of Streptococcus pneumoniae in blood or pleural fluid by culture or real-time PCR between January 2012 and June 2016. Patients were divided into <2 years and 2-17 years age groups. Read More

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http://doi.wiley.com/10.1002/ppul.24279
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http://dx.doi.org/10.1002/ppul.24279DOI Listing
February 2019
3 Reads

Rethinking the Doses of Tissue Plasminogen Activator and Deoxyribonuclease Administrated Concurrently for Intrapleural Therapy for Complicated Pleural Effusion and Empyema.

Cureus 2018 Feb 21;10(2):e2214. Epub 2018 Feb 21.

Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.

Background Complicated parapneumonic effusions empyema (CPEE) is fairly common and associated with increased morbidity and mortality. The Multicenter Intrapleural Sepsis Trial 2 (MIST 2) established the combination of intrapleural deoxyribonuclease (DNase) and tissue plasminogen activator (tPA) as an effective treatment for CPEE, thereby avoiding surgery and decreasing the length of hospitalization. MIST 2, however, used a labor-intensive protocol with some risk of bleeding. Read More

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http://dx.doi.org/10.7759/cureus.2214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368361PMC
February 2018
1 Read

A Bulging Chest Wall Mass Following Pneumococcal Empyema: A Case of Pneumothorax Necessitans.

Am J Respir Crit Care Med 2019 Feb 11. Epub 2019 Feb 11.

NewYork-Presbyterian Brooklyn Methodist Hospital, 5946, Division of Pulmonary and Critical Care, Brooklyn, New York, United States.

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http://dx.doi.org/10.1164/rccm.201809-1639IMDOI Listing
February 2019
1 Read
12.996 Impact Factor

Detection of the major bacterial pathogens among children suffering from empyema in Ahvaz city, Iran.

J Clin Lab Anal 2019 Feb 9:e22855. Epub 2019 Feb 9.

Department of microbiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Introduction: Empyema is one of the important causes of pediatric hospital admissions.

Aim: In this study, we had investigated the frequency rates of S aureus, S pneumoniae, H influenzae, and P aeruginosa using PCR and bacterial culture among children suffering from empyema in Ahvaz city, Iran.

Methods: This was a descriptive study conducted on the patients hospitalized in ICUs of two teaching Hospitals of Ahvaz, Iran, between March and September 2018 on 105 pleural fluid (PF) samples of the children less than 16 years of age with the diagnosis of empyema thoracis. Read More

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http://dx.doi.org/10.1002/jcla.22855DOI Listing
February 2019
1 Read

Arterial thrombosis as primary presentation of endogenous Cushing's syndrome.

BMJ Case Rep 2019 Feb 6;12(2). Epub 2019 Feb 6.

Department of Internal Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

Cushing's syndrome is known to present with a characteristic set of clinical manifestations and complications, well described in literature. However, hypercoagulability remains an under recognised entity in Cushing's syndrome. A 31-year-old woman from Southern India presented with history of fever, left upper quadrant pain and progressive breathing difficulty for 3 weeks. Read More

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http://dx.doi.org/10.1136/bcr-2018-227491DOI Listing
February 2019
17 Reads

Predictors of Outcomes After Thoracic Surgery in Orthotopic Liver Transplant Recipients with Pleural Disease.

Semin Thorac Cardiovasc Surg 2019 Feb 4. Epub 2019 Feb 4.

Division of Thoracic Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:

Background: Orthotopic liver transplant (OLT) recipients are at high risk for postoperative pulmonary complications. We aim to determine factors associated with morbidity and mortality in OLT recipients that required thoracic surgery for pleural space complications.

Methods: A retrospective review was performed of 42 patients who underwent thoracic surgery after OLT between 2005 and 2015. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.02.003DOI Listing
February 2019
1 Read

Unilateral hearing loss in a 94-year-old patient.

Age Ageing 2019 Feb 6. Epub 2019 Feb 6.

Department of Geratology, John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

A case report of a 94-year-old, previously well male patient who presented with fever thought to be caused by community acquired pneumonia, new unilateral hearing loss and reduced consciousness. Despite antibiotic treatment he continued to deteriorate. Brain imaging with computer tomography and magnetic resonance imaging revealed a left otomastoiditis with osteomyelitis of the skull base, associated with an adjacent subdural empyema. Read More

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http://dx.doi.org/10.1093/ageing/afz003DOI Listing
February 2019
2 Reads

Empyema caused by infection with Clostridium septicum in a patient with lung cancer.

J Bras Pneumol 2018 Nov-Dec;44(6):529-531

. Unidade de Terapia Intensiva, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.

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http://dx.doi.org/10.1590/S1806-37562017000000466DOI Listing
February 2019

Pleural empyema in a patient with a perinephric abscess and diaphragmatic defect.

Respirol Case Rep 2019 Apr 29;7(3):e00400. Epub 2019 Jan 29.

Department of Respiratory Medicine Sir Charles Gairdner Hospital Nedlands Western Australia Australia.

Pleural infection as a complication of ascending urological infection is rare, and the mechanism often unclear. We report a complicated case of pleural infection and perinephric abscess in a patient who presented with a large right-sided pleural effusion. Pleural fluid culture yielded , an unusual pathogen in pleuro-pulmonary infections. Read More

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http://dx.doi.org/10.1002/rcr2.400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350234PMC
April 2019
1 Read

Effect of restrictive fluid therapy with hydroxyethyl starch during esophagectomy on postoperative outcomes: a retrospective cohort study.

BMC Surg 2019 Feb 4;19(1):15. Epub 2019 Feb 4.

Department of Anesthesiology and Pain Medicine, Laboratory for Perioperative Outcomes Analysis and Research, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea.

Background: To improve prognosis after esophageal surgery, intraoperative fluid optimization is important. Herein, we hypothesized that hydroxyethyl starch administration during esophagectomy reduce the total amount of fluid infused and it could have a positive effect on postoperative complication occurrence and mortality.

Methods: All consecutive adult patients who underwent elective esophageal surgery for cancer were studied. Read More

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http://dx.doi.org/10.1186/s12893-019-0482-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360773PMC
February 2019
1 Read

Impact of age on the diagnostic yield of four different biomarkers of tuberculous pleural effusion.

Tuberculosis (Edinb) 2019 01 15;114:24-29. Epub 2018 Nov 15.

Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Banacha 1A, 02-097, Warsaw, Poland. Electronic address:

The diagnostic value of pleural fluid biomarkers in tuberculous pleurisy (TP) is firmly established. However, it is less clear whether patients' age affects the diagnostic accuracy of TP biomarkers. The aim of the study was to assess the impact of age, on the predictive value of ADA, IFN-γ, IP-10 and Fas ligand in patients with pleural effusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14729792183023
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http://dx.doi.org/10.1016/j.tube.2018.11.004DOI Listing
January 2019
4 Reads

Severe case of pneumonia with pleural effusion in an immunocompromised woman due to .

BMJ Case Rep 2019 Jan 31;12(1). Epub 2019 Jan 31.

Internal Medicine, Hospital Universitario de Mostoles, Mostoles, Madrid, Spain.

Infections caused by fusobacteria have a wide clinical spectrum, and in certain patients, they can lead to severe systemic illness. We report the case of an immunocompromised young woman who presented with severe pneumonia complicated by parapneumonic pleural effusion, despite wide-spectrum antibiotic treatment. was isolated in the samples obtained after thoracentesis was performed. Read More

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http://dx.doi.org/10.1136/bcr-2018-227603DOI Listing
January 2019
1 Read

Is pleural infection associated with longer survival in mesothelioma? A population-based cohort study using data from Hospital Episode Statistics.

Cancer Epidemiol 2019 Jan 29;59:75-82. Epub 2019 Jan 29.

Academic Respiratory Unit, Bristol Medical School, University of Bristol, UK.

Background: Historically pleural infection was thought to be associated with longer survival in thoracic malignancies. The aim of this population-based cohort study was to investigate this hypothesis in mesothelioma, using national data from a high incidence country.

Methods: Case records for all patients with mesothelioma seen in English hospitals between 01/01/2005 and 31/12/2014 were extracted from Hospital Episode Statistics using International Classification of Diseases Tenth Edition (ICD-10) codes. Read More

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http://dx.doi.org/10.1016/j.canep.2019.01.014DOI Listing
January 2019
1 Read

Pleural infection: a closer look at the etiopathogenesis, microbiology and role of antibiotics.

Expert Rev Respir Med 2019 Feb 1:1-11. Epub 2019 Feb 1.

a Oxford Pleural Unit , Oxford University Hospitals , Oxford , UK.

Introduction: Pleural infection is a condition that continues to pose a significant challenge to respiratory physicians. We hypothesize that the main barriers to progress include limited understanding of the etiopathogenesis, microbiology,and role of antibiotics in the pleural space. Areas covered: PubMed was searched for articles related to adult pleural infection using the terms 'pleural infection', 'empyema' and 'parapneumonic'. Read More

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https://www.tandfonline.com/doi/full/10.1080/17476348.2019.1
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http://dx.doi.org/10.1080/17476348.2019.1578212DOI Listing
February 2019
1 Read

A severe case of Streptococcal pyogenes empyema following influenza A infection.

BMC Pulm Med 2019 Jan 28;19(1):25. Epub 2019 Jan 28.

Department of Clinical Infectious Diseases, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.

Background: Any immunological mechanisms induced by influenza virus could cause severe secondary bacterial superinfection such as those by Streptococcus pyogenes [group A streptococcus (GAS)], Streptococcus pneumoniae or Staphylococcus aureus. Over recent years, the frequency of pleural empyema has increased in children with influenza infection. We present a severe case of acute empyema caused by S. Read More

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http://dx.doi.org/10.1186/s12890-019-0787-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350381PMC
January 2019
1 Read

Clinical, functional, and radiological outcome in children with pleural empyema.

Pediatr Pulmonol 2019 Jan 23. Epub 2019 Jan 23.

Respiratory Center, Ricardo Gutiérrez children's Hospital, Buenos Aires, Argentina.

Introduction: Few studies have prospectively evaluated recovery process and long-term consequences of pleural space infections.

Objective: To evaluate clinical, pulmonary, and diaphragmatic function and radiological outcome in patients hospitalized with pleural empyema.

Material And Methods: Previously healthy patients from 6 to 16 years were enrolled. Read More

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http://dx.doi.org/10.1002/ppul.24255DOI Listing
January 2019
1 Read

Outcome of Primary Bone Fragment Replacement in Pediatric Patients with Depressed Skull Fracture.

Pediatr Neurosurg 2019 Jan 23:1-8. Epub 2019 Jan 23.

Department of Neurosurgery, Gaziantep Medical Park Hospital, Gaziantep, Turkey.

Objective: To evaluate pediatric patients who were operated with the diagnosis of depressed skull fracture.

Methods: The records of pediatric patients who presented with traumatic head injury to multicenter neurosurgery clinics between 2002 and 2018 and who were operated with a diagnosis of depressed skull fracture were retrospectively reviewed. All of the patients underwent primary bone fragment replacement operation, and the patients' own bone flaps were used to repair depressed skull fractures in all of them. Read More

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https://www.karger.com/Article/FullText/495807
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http://dx.doi.org/10.1159/000495807DOI Listing
January 2019
3 Reads

Successful treatment of late onset empyema after extrapleural pneumonectomy: A case report.

Respir Med Case Rep 2019 4;26:174-175. Epub 2019 Jan 4.

Division of Thoracic Surgery, Shizuoka City Shizuoka Hospital, Ohtemachi, 10-93, Aoi-ku, 420-8630, Shizuoka, Japan.

Treatment of post-extrapleural pneumonectomy empyema (PEPPE) is more difficult than that for post-pneumonectomy empyema for two reasons: first, a large infectious dead space remains after extrapleural pneumonectomy (EPP); and second, defects of the pericardium and diaphragm are reconstructed with artificial materials, which ideally should be removed for treatment of infection. Here, we report the case of a 56-year-old male with PEPPE that occurred long after EPP for mesothelioma. The patient was treated successfully by minimally invasive procedures of irrigation, instillation of urokinase and antibiotics, and surgical debridement without peeling off artificial materials. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327906PMC
January 2019
1 Read

Surgical management of esophageal perforation: role of primary closure.

Asian Cardiovasc Thorac Ann 2019 Mar 21;27(3):192-198. Epub 2019 Jan 21.

Department Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.

Objective: Esophageal perforation is a life-threatening condition associated with high mortality and morbidity. Ambiguous clinical presentation is one of the most common causes of delayed and difficult diagnosis of esophageal perforation. In this retrospective single-center study, we reviewed the outcome of primary closure in patients with esophageal perforation between 2009 and 2017. Read More

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http://dx.doi.org/10.1177/0218492319827439DOI Listing

Lytic Therapy for Retained Traumatic Hemothorax: A Systematic Review and Meta-analysis.

Chest 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Pennsylvania State University College of Medicine, Hershey, PA; Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, University Park, PA; Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA.

Background: Intrapleural lytic therapy has been established as an important modality of treatment for many pleural disorders, including hemothorax and empyema. Retained traumatic hemothorax is a common and understudied subset of pleural disease. The current standard of care for retained traumatic hemothorax is operative management. Read More

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http://dx.doi.org/10.1016/j.chest.2019.01.007DOI Listing
January 2019
2 Reads

Empyema caused by transdiaphragmatic extension of pyogenic liver abscess.

Authors:
Doh Hyung Kim

Clin Case Rep 2019 Jan 4;7(1):240-241. Epub 2018 Dec 4.

Division of Pulmonary Medicine and Allergy, Department of Internal Medicine, Dankook University Hospital Dankook University College of Medicine Cheonan Korea.

Empyema caused by transdiaphragmatic extension of pyogenic liver abscess is a very rare complication of liver abscess. Empyema patients with unclear respiratory symptoms should be evaluated for the presence of underlying liver abscess. Effective drainage with appropriate antibiotic use is an essential part of successful treatment. Read More

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http://dx.doi.org/10.1002/ccr3.1950DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332749PMC
January 2019

Severe Septic Vasculitis Preceding Thoracic Empyema: Staphylococcus aureus Enterotoxin Deposition in Vessel Walls as a Possible Pathomechanism.

Acta Derm Venereol 2019 Jan 17. Epub 2019 Jan 17.

Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan.

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http://dx.doi.org/10.2340/00015555-3122DOI Listing
January 2019
1 Read

The geriatric nutritional risk index independently predicts adverse outcomes in patients with pyogenic liver abscess.

BMC Geriatr 2019 Jan 16;19(1):14. Epub 2019 Jan 16.

Diabetes Center and Department of Endocrinology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, No. 109 West Xueyuan Road, Wenzhou, China.

Background: Geriatric nutritional risk index (GNRI) is a simple and useful nutritional marker for predictor of adverse outcomes in patients undergoing a variety of conditions. This study explored the relationship between GNRI and adverse outcomes of Pyogenic Liver Abscess (PLA) patients and assessed GNRI predictive value.

Methods: This was one retrospective study involving 240 PLA patients. Read More

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https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877
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http://dx.doi.org/10.1186/s12877-019-1030-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335828PMC
January 2019
5 Reads

Alteplase and DNase for the treatment of pleural empyema in rats.

Pulm Pharmacol Ther 2019 Jan 12. Epub 2019 Jan 12.

Engenheiro Biomedical Engineer, Clinicas Hospital of Porto Alegre, Brazil.

Background And Objectives: Adjunctive intrapleural fibrinolytic is an option to treat empyema at fibrinopurulent stage, but there is controversy about which should be use. Our objective is to evaluate the action of alteplase and/or desoxyribonuclease at physical and chemical properties in vitro pus derived from an experimental induced empyema in rats.

Methods: Streptococcus pneumoniae was introduced into the pleural cavity by thoracentesis through pleural pressure monitor. Read More

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http://dx.doi.org/10.1016/j.pupt.2019.01.001DOI Listing
January 2019
6 Reads

[Failure of Endo-VAC or Stenting Therapy after Oesophageal Anastomotic Insufficiency - How to Avoid Oesophagectomy].

Zentralbl Chir 2019 Jan 15. Epub 2019 Jan 15.

Klinik für Thoraxchirurgie, Thoraxzentrum Ruhrgebiet, Evangelisches Krankenhaus Herne, Deutschland.

Introduction: Oesophageal anastomotic leak after oesophagectomy is a severe complication and associated with a high mortality rate. Initial treatment is conservative and includes stent implantation or endo-VAC therapy. This study describes a combined treatment strategy of endoscopic and surgical management after failure of conservative management. Read More

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http://dx.doi.org/10.1055/a-0806-7936DOI Listing
January 2019
1 Read

Thoracoscopic surgery using omental flap for bronchopleural fistula.

Surg Case Rep 2019 Jan 14;5(1). Epub 2019 Jan 14.

Department of Thoracic Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato Minami-ku,, Sagamihara, Kanagawa, 252-0374, Japan.

Background: A bronchopleural fistula (BPF) can lead to empyema and death after pulmonary resection. A minor leakage from a BPF has been reported to be successfully closed endobronchially, although thoracoplasty is usually needed.

Case Presentation: A case of successful thoracoscopic BPF closure using an omental flap in a 74-year-old man with emphysema who developed a BPF after right lower lobectomy for lung cancer is reported. Read More

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http://dx.doi.org/10.1186/s40792-019-0563-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331345PMC
January 2019
1 Read

A Homemade, High-fidelity Ultrasound Model for Simulating Pneumonia with Parapneumonic Effusion and Empyema.

J Emerg Med 2019 Jan 9. Epub 2019 Jan 9.

Children's Emergency, KK Women's and Children's Hospital, Singapore, Singapore.

Background: Point-of-care ultrasonography (POCUS) is increasingly used for both diagnostic and guided procedures. Increasingly, POCUS has been used for identification of pneumonia and to assist in the differentiation of pleural effusions, as well as to guide thoracentesis. As such, there is a need for training with ideally high-fidelity lung ultrasound phantoms to ensure ultrasound proficiency and procedural competency. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.015DOI Listing
January 2019
1 Read

The ongoing struggle with empyema management: is surgery really the answer?

J Thorac Dis 2018 Nov;10(Suppl 33):S4122-S4125

Oxford Centre for Respiratory Medicine, Oxford University Hospitals, Oxford, UK.

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http://dx.doi.org/10.21037/jtd.2018.10.54DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297526PMC
November 2018

Editorial on: current state of empyema management.

J Thorac Dis 2018 Nov;10(Suppl 33):S4043-S4046

Department of Thoracic Surgery, Klinikum Bogenhausen, Munich, Germany.

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http://dx.doi.org/10.21037/jtd.2018.10.46DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297509PMC
November 2018

Empyema editorial.

J Thorac Dis 2018 Nov;10(Suppl 33):S3911-S3913

Section of Interventional Pulmonology, Division of Pulmonary, Critical Care, and Sleep Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.

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http://jtd.amegroups.com/article/view/23787/18970
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http://dx.doi.org/10.21037/jtd.2018.08.135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297489PMC
November 2018
1 Read

Effectiveness of architectural separation of septic and aseptic operating theatres for improving process quality and patient outcomes: a systematic review.

Syst Rev 2019 Jan 9;8(1):16. Epub 2019 Jan 9.

Centre for Clinical Research, BG Hospital Unfallkrankenhaus Berlin, Berlin, Germany.

Background: Architectural division of aseptic and septic operating theatres is a distinct structural feature of surgical departments in Germany. Internationally, hygienists and microbiologists mainly recommend functional separation (i.e. Read More

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http://dx.doi.org/10.1186/s13643-018-0937-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325836PMC
January 2019

Community-Acquired Pneumonia with Negative Chest Radiography Findings: Clinical and Radiological Features.

Respiration 2019 Jan 9:1-10. Epub 2019 Jan 9.

Department of Internal Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.

Background: Data regarding community-acquired pneumonia (CAP) identified on chest computed tomography (CT) but not on chest radiography (CR) are limited.

Objectives: The present study aimed to investigate the clinical and radiological features of these patients.

Methods: We retrospectively compared the clinical characteristics, etiological agents, treatment outcomes, and CT findings between CAP patients with negative CR and positive CT findings (negative CR group) and those with positive CR as well as CT findings (control group). Read More

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http://dx.doi.org/10.1159/000495068DOI Listing
January 2019
6 Reads

"Cat got your lung?": Case of a trapped lung following cat bite.

IDCases 2019 29;15:e00482. Epub 2018 Dec 29.

University of Illinois College of Medicine, Peoria, IL, USA.

is a gram negative encapsulated facultative bacillus that has been reported to cause a wide variety of infections in humans. Empyema is rarely reported complication of infection. Infection is usually acquired by inhalation or bite from a domestic animal, with cats and dogs being the most common sources. Read More

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http://dx.doi.org/10.1016/j.idcr.2018.e00482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317276PMC
December 2018

Is adjuvant antifungal therapy after video-assisted thoracic surgery for pulmonary aspergilloma necessary?

J Thorac Dis 2018 Nov;10(11):6060-6065

Department of Thoracic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

Background: The aim of this current retrospective study was to assess the necessity of postoperative antifungal therapy for pulmonary aspergilloma (PA) patients who underwent video-assisted thoracic surgery (VATS) lung resection.

Methods: We enrolled 22 PA patients who underwent VATS lung resection between 2014 and 2018. Of these, 12 patients were prescribed antifungal agents during the perioperative period (group A), and the other 10 were treated with surgery alone without any antifungal therapy postoperatively (group B). Read More

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http://jtd.amegroups.com/article/view/24765/19084
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http://dx.doi.org/10.21037/jtd.2018.09.151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297433PMC
November 2018
3 Reads

Anterior cervical spine surgery for the treatment of subaxial cervical spondylodiscitis: a report of 30 consecutive patients.

Neurosurg Focus 2019 Jan;46(1):E6

OBJECTIVEInfection of the cervical spine is a rare disease but is associated with significant risk of neurological deterioration, morbidity, and a poor response to nonsurgical management. The ideal treatment for cervical spondylodiscitis (CSD) remains unclear.METHODSHospital records of patients who underwent acute surgical management for CSD were reviewed. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18464DOI Listing
January 2019
1 Read

Lung hypoperfusion in children with complicated pneumonia may be assessed by Doppler ultrasound of the main pulmonary arteries.

Clin Respir J 2019 Jan 4. Epub 2019 Jan 4.

Pediatric Allergy and Respiratory Unit.

Patients with complicated pneumonia usually require invasive procedures and have a protracted course of the disease, although most children have a complete recovery with no evident long-term sequelae. Recovery is monitored by clinical findings, biochemical measurements in blood and imaging studies of the chest (x-ray and ultrasound). Lung ultrasound has been widely used in the study of pneumonia and its complications, but Doppler ultrasound, and echocardiography have been less often. Read More

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http://dx.doi.org/10.1111/crj.12989DOI Listing
January 2019
2 Reads

Empyema in children hospitalised at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa: A retrospective study.

S Afr Med J 2018 Nov 26;108(12):1055-1058. Epub 2018 Nov 26.

Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: There is a paucity of information on empyema in children from low- and middle-income countries since the introduction of the pneumococcal conjugate vaccine.

Objectives: To describe the aetiology and management of empyema in a setting of high HIV and tuberculosis (TB) prevalence.

Methods: A retrospective descriptive study was undertaken between January 2012 and December 2016 in children aged <14 years at a large secondary-tertiary referral hospital in Soweto, South Africa. Read More

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http://dx.doi.org/10.7196/SAMJ.2018.v108i12.13099DOI Listing
November 2018
7 Reads

Myocardin is Involved in Mesothelial-Mesenchymal Transition of Human Pleural Mesothelial Cells.

Am J Respir Cell Mol Biol 2019 Jan 3. Epub 2019 Jan 3.

University of Texas Health Northeast, 12341, Tyler, Texas, United States ;

Pleural fibrosis is characterized by severe inflammation of the pleural space, pleural reorganization. Subsequent thickening of visceral pleura contributes to lung stiffness and impaired lung function. Pleural mesothelial cells (PMCs) can become myofibroblasts via mesothelial-mesenchymal transition (MesoMT) and contribute to pleural organization, fibrosis and rind formation. Read More

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http://dx.doi.org/10.1165/rcmb.2018-0121OCDOI Listing
January 2019
4 Reads

Combination therapy with ciprofloxacin and third-generation cephalosporin versus third-generation cephalosporin monotherapy in Escherichia coli meningitis in infants: a multicentre propensity score-matched observational study.

Clin Microbiol Infect 2018 Dec 27. Epub 2018 Dec 27.

Neonatal Intensive Care Unit, Créteil, France; Centre de Recherche Clinique, Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est Créteil, Créteil, France.

Objectives: Escherichiacoli is the second cause of bacterial meningitis in neonates. Despite the use for 35 years of third-generation cephalosporins (3GCs), high morbidity and mortality rates with E. coli meningitis continue to occur. Read More

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http://dx.doi.org/10.1016/j.cmi.2018.12.026DOI Listing
December 2018
1 Read

Laparoscopic cholecystectomy in patient with situs viscerum inversus totalis and gallbladder empyema - a case report.

Rozhl Chir 2018 ;97(10):469-472

The case report presents the successful performance of laparoscopic cholecystectomy for situs viscerum inversus totalis in a female patient with chronic cholecystitis and cholecystolithiasis and summarizes current knowledge and approaches to this issue. Gallbladder empyema was found perioperatively, which has only been published once in a similar case before. Laparoscopic cholecystectomy in situs viscerum inversus totalis is a safe method to remove the gallbladder. Read More

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January 2018
5 Reads

Prospective evaluation of lung function in children with parapneumonic empyema.

Pediatr Pulmonol 2018 Dec 27. Epub 2018 Dec 27.

Biostatistics and Medical Information Technology, Polytechnics University of Marche, Center of Epidemiology, Ancona, Italy.

Rationale: Prospective studies that evaluated the outcome of childhood empyema are limited.

Objective: To compare the outcome of pulmonary function in children with empyema.

Patients And Methods: Children discharged with a diagnosis of empyema underwent a longitudinal study including measurement of pulmonary function and radiographic imaging. Read More

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http://dx.doi.org/10.1002/ppul.24204DOI Listing
December 2018
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A large-cohort comparison between single incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy from a single center; 2080 cases.

Ann Hepatobiliary Pancreat Surg 2018 Nov 27;22(4):367-373. Epub 2018 Nov 27.

Department of Surgery, Konyang University Hospital, Daejeon, Korea.

Backgrounds/aims: This study was conducted to verify and compare the safety and feasibility of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC).

Methods: A total of 2,080 patients underwent laparoscopic cholecystectomy in a single center, Konyang University Hospital, between 2010 and 2016. We retrospectively compared the demographics, perioperative outcome, and postoperative complication results between the CLC and SILC groups. Read More

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http://dx.doi.org/10.14701/ahbps.2018.22.4.367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295377PMC
November 2018
1 Read

Prognostic Value of Preoperative Neutrophil-to-lymphocyte Ratio for Prediction of Severe Cholecystitis.

J Med Biochem 2018 Apr 1;37(2):121-127. Epub 2018 Apr 1.

Clinic for Endocrinology, Diabetes and Diseases of Metabolism, Clinical Center of Serbia, Belgrade, Serbia.

Background: The predictive value of preoperative neutrophil-to-lymphocyte ratio (NLR) in patients with cholecystitis has not been established. The aim of this study was to investigate preoperative NLR in patients with cholecystitis and to identify a relevant NLR value that discriminates between simple and severe cholecystitis.

Methods: This study included 136 patients who under went laparoscopic cholecystectomy due to cholecystitis. Read More

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http://content.sciendo.com/view/journals/jomb/37/4/article-p
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http://dx.doi.org/10.1515/jomb-2017-0063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294096PMC
April 2018
6 Reads

The bacterial aetiology of pleural empyema. A descriptive and comparative metagenomic study.

Clin Microbiol Infect 2018 Dec 21. Epub 2018 Dec 21.

Department of Microbiology, Haukeland University Hospital, Bergen, Norway.

Objectives: The view of pleural empyema as a complication of bacterial pneumonia is changing because many patients lack evidence of underlying pneumonia. To further our understanding of pathophysiological mechanisms, we conducted in-depth microbiological characterization of empyemas in clinically well-characterized patients and investigated observed microbial parallels between pleural empyemas and brain abscesses.

Methods: Culture-positive and/or 16S rRNA gene PCR-positive pleural fluids were analysed using massive parallel sequencing of the 16S rRNA and rpoB genes. Read More

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http://dx.doi.org/10.1016/j.cmi.2018.11.030DOI Listing
December 2018
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Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis.

BMC Infect Dis 2018 Dec 20;18(1):686. Epub 2018 Dec 20.

Semmelweis University, Institute of Medical Microbiology, Budapest, Hungary.

Background: Central nervous system (CNS) infections caused by Actinomyces spp. including brain abscess, actinomycoma, subdural empyema and epidural abscess are well described, however reports of Actinomyces-associated meningitis are scarcely reported.

Case Report: We present the case of a 43-year-old Hungarian male patient with poor socioeconomic status who developed acute bacterial meningitis caused by Actinomyces turicensis originating from the left side mastoiditis. Read More

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http://dx.doi.org/10.1186/s12879-018-3610-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302302PMC
December 2018
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Empyema with Multiple Bronchopleural Fistulae Improved by Bronchial Occlusion Using an Endobronchial Watanabe Spigot with the Push and Slide Method.

Intern Med 2018 Dec 18. Epub 2018 Dec 18.

Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Japan.

The push and slide method is a method of endoscopic bronchial occlusion using an endobronchial Watanabe spigot that facilitates occlusion of the target bronchus rapidly and accurately using a guidewire. We herein report the case of a man who was diagnosed with empyema forming bronchopulmonary fistulae that was successfully treated by endoscopic bronchial occlusion. Because of the multiple fistulae, balloon occlusion was not a favorable therapeutic approach. Read More

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http://dx.doi.org/10.2169/internalmedicine.1877-18DOI Listing
December 2018

Intensive care unit-acquired complicated necrotizing pneumonia caused by : A case report.

Intractable Rare Dis Res 2018 Nov;7(4):283-286

Department of Clinical Laboratory, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Tainan, Taiwan.

A 58-year-old man with a history of diabetes mellitus and end-stage renal disease acquired pneumonia with acute respiratory failure during his stay in an intensive care unit (ICU). Empirical antimicrobial therapy with ceftazidime and vancomycin was initiated, and imipenem replaced ceftazidime 2 days later due to the patients pulmonary condition failed to improve. However, within 5 days, pulmonary consolidation rapidly progressed to necrotizing pneumonia complicated by lung abscess, empyema, pyopneumothorax, and tension pneumothorax, leading to the patient's death. Read More

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https://www.jstage.jst.go.jp/article/irdr/7/4/7_2018.01116/_
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http://dx.doi.org/10.5582/irdr.2018.01116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290836PMC
November 2018
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Emerging Infection in Indian Neonatal Intensive Care Units: A Case Report.

Antibiotics (Basel) 2018 Dec 14;7(4). Epub 2018 Dec 14.

Department of Pediatrics, RD Gardi Medical College, Ujjain 456006, India.

Antibiotic-resistant pathogens and nosocomial infections constitute common and serious problems for neonates admitted to neonatal intensive care units worldwide. is a non-lactose-fermenting, gram-negative, health care-associated pathogen (HCAP). It is ubiquitous and intrinsically resistant to several antibiotics. Read More

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http://www.mdpi.com/2079-6382/7/4/109
Publisher Site
http://dx.doi.org/10.3390/antibiotics7040109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316706PMC
December 2018
9 Reads

Safety of Pleuroscopy Performed in Negative Pressure Bronchoscopy Rooms.

J Bronchology Interv Pulmonol 2018 Dec 12. Epub 2018 Dec 12.

Departments of Pulmonary Medicine.

Background: The use of pleuroscopy has expanded over the last decade due to its higher diagnostic yield and low complications rate. Whether the infectious complications of pleuroscopy performed in negative pressure rooms is similar to that of pleuroscopy performed in positive pressure rooms remain unclear. To assess the safety of pleuroscopy performed in negative pressure rooms, we sought to determine the rate of infectious complications in patients who underwent pleuroscopy in negative pressure bronchoscopy rooms at our institution. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000557DOI Listing
December 2018

Interhemispheric Subdural Empyema Secondary to Sinusitis in an Adolescent Girl.

Chin Med J (Engl) 2018 Dec;131(24):2989-2990

Department of Neurology, The Affiliated Hospital of Jiujiang University, Jiujiang, Jiangxi 332000, China.

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http://dx.doi.org/10.4103/0366-6999.247213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302645PMC
December 2018
4 Reads