12,024 results match your criteria Empyema


Mixed anaerobic thoracic empyema: the first report of causing extra-oral disease.

Authors:
R M Gray M Vidwans

New Microbes New Infect 2019 May 14;29:100528. Epub 2019 Mar 14.

West Hertfordshire NHS Trust, Department of Microbiology, Watford General Hospital, Vicarage Road, Watford, UK.

We report on a case of bilateral lung consolidation and thoracic empyema caused by the periodontal pathogens and in a patient with chronic dysphagia. This is the first report of causing infection at an extra-oral site. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.nmni.2019.100528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463813PMC

One-Lung Ventilation: A Pediatric Simulation Case for Anesthesiology Residents.

MedEdPORTAL 2016 Sep 23;12:10461. Epub 2016 Sep 23.

Clinical Associate Professor, Department of Anesthesia, University of Iowa Roy J. and Lucille A. Carver College of Medicine.

Introduction: This activity is designed for midlevel and senior anesthesia trainees to experience the complexities of one-lung ventilation in pediatrics in a high-fidelity simulated environment. With the use of video-assisted thoracoscopic surgery (VATS) becoming increasingly common in pediatrics, we identified this area as an opportunity for the development of a dedicated educational simulation activity.

Methods: Our simulated patient is a 3-year-old girl with empyema presenting for decortication via VATS who subsequently develops hypoxemia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.15766/mep_2374-8265.10461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464470PMC
September 2016

Intrapleural Tissue Plasminogen Activator for Traumatic Retained Hemothorax.

Ann Pharmacother 2019 Apr 21:1060028019846122. Epub 2019 Apr 21.

1 The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Objective: To describe the efficacy, safety, dosing regimen, and administration technique of intrapleural alteplase for the treatment of retained hemothorax.

Data Sources: A PubMed, EMBASE, and Google Scholar search (January 2000 to February 2019) was conducted with the search terms intrapleural, fibrinolytic, fibrinolysis, alteplase, tissue plasminogen activator, and hemothorax.

Study Selection And Data Extraction: Articles were included if they described the use of intrapleural alteplase in adult patients with a retained hemothorax; single patient case reports and abstracts were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1060028019846122DOI Listing

[Mixed pleural empyema due to Leuconostoc pseudomesenteroides and Streptococcus mitis/oralis].

Rev Esp Geriatr Gerontol 2019 Apr 18. Epub 2019 Apr 18.

Servicio de Medicina Interna, Hospital Povisa, Vigo, Pontevedra, España.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.regg.2019.01.007DOI Listing

The Combined Use of Pleural Fluid Parameters Improves Diagnostic Accuracy in Complicated Pleural Infection/Empyema.

Arch Bronconeumol 2019 Apr 17. Epub 2019 Apr 17.

Servicio de Neumología, Complejo Hospitalario Clínico Universitario de Santiago de Compostela, Grupo Interdisciplinar de Investigación en Neumología. Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, A Coruña, España.

Introduction: Identifying infectious pleural effusions (IPE) that will progress to complicated infection or empyema is challenging. The purpose of this study was to determine whether a model based on multiple biochemical parameters in pleural fluid can predict which IPEs will produce empyema.

Methods: A prospective study was performed of all cases of IPEs treated in our unit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arbres.2019.02.025DOI Listing

Phase 1 trial of intrapleural LTI-01; single chain urokinase in complicated parapneumonic effusions or empyema.

JCI Insight 2019 Apr 18;5. Epub 2019 Apr 18.

Background: Current dosing of intrapleural fibrinolytic therapy (IPFT) in adults with complicated parapneumonic effusion (CPE) / empyema is empiric, as dose-escalation trials have not previously been conducted. We hypothesized that LTI-01 (scuPA), which is relatively resistant to PA inhibitor-1 (PAI-1), would be well-tolerated.

Methods: This was an open-label, dose-escalation trial of LTI-01 IPFT at 50,000-800,000 IU daily for up to 3 days in adults with loculated CPE/empyema and failed pleural drainage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1172/jci.insight.127470DOI Listing
April 2019
4 Reads

Logistic regression analysis of clinical and computed tomography features of pulmonary abscesses and risk factors for pulmonary abscess-related empyema.

Clinics (Sao Paulo) 2019 04 8;74:e700. Epub 2019 Apr 8.

Department of Respiratory, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China.

Objectives: This study was conducted to investigate the risk factors for pulmonary abscess-related empyema by investigating the clinical characteristics and chest computed tomography imaging features of patients with pulmonary abscesses.

Methods: We retrospectively analyzed the chest computed tomography findings and clinical features of 101 cases of pulmonary abscess, including 25 cases with empyema (the experimental group) and 76 cases with no empyema (the control group). The potential risk factors for pulmonary abscess-related empyema were compared between the groups by using univariate and multivariate logistic regression analyses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.6061/clinics/2019/e700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445155PMC

Diagnostic Value of Ultrasound in Detecting Causes of Pediatric Chest X-Ray Opacity.

Turk Thorac J 2019 Apr 9. Epub 2019 Apr 9.

Department of Radiology, Mashhad University of Medical Sciences, School of Medicine, Mashhad, Iran.

Objectives: Computed tomography is considered as the diagnostic gold standard for following up the majority of pediatric chest X-ray (CXR) opacities. However, radiation, cost, and waiting times have led to search for diagnostic alternatives. This study was conducted to determine the diagnostic accuracy of the ultrasound (US) in detecting the causes of pediatric CXR opacities. Read More

View Article

Download full-text PDF

Source
http://turkthoracj.org/eng/makale/1105/154/Full-Text
Publisher Site
http://dx.doi.org/10.5152/TurkThoracJ.2018.18087DOI Listing
April 2019
2 Reads

12 years active surveillance for pediatric pleural empyema in a Mexican hospital: effectiveness of pneumococcal 13-valent conjugate vaccine, and early emergence of methicillin-resistant .

Ther Adv Infect Dis 2019 Jan-Dec;6:2049936119839312. Epub 2019 Apr 3.

School of Medicine, Campus ECISALUD, Universidad Autonoma de Baja California, Mexico.

Background: Previous publications have proved the effectiveness of the 13-valent pneumococcal conjugate vaccine (PCV13) on pneumococcal pleural empyema (PnPE) in children, with little emergence of other pathogens. We searched the literature to establish whether PCV13 reduces PnPE, and to identify other pathogens causing pleural empyemas (PEs).

Material And Methods: From October 2005 to January 2018 (12. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2049936119839312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448099PMC

MRI features and differential diagnoses of congenital vaginal atresia.

Gynecol Endocrinol 2019 Apr 13:1-5. Epub 2019 Apr 13.

b Department of Respiratory Medicine , The 940th Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army (Former Lanzhou General Hospital of Lanzhou Military Region) , Lanzhou , China.

Objective: To investigate the MRI manifestations of congenital vaginal atresia, analyze its imaging features, and improve the understanding of the disease.

Methods: MRI findings and clinical data of 12 patients with congenital vaginal atresia confirmed by hysteroscopy and laparoscopic surgery were retrospectively analyzed. Vaginal atresia was classified according to vaginal dysplasia in AFS female genital malformation classification system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/09513590.2019.1588875DOI Listing
April 2019
1 Read

Chronic meningitis in a lung transplant recipient.

Med Mycol Case Rep 2019 Jun 25;24:41-43. Epub 2019 Mar 25.

Immunocompromised Host Infectious Diseases Service, Division of Infectious Diseases, Department of Medicine, and the Multi-Organ Transplant Program, University Health Network, University of Toronto, Toronto, Ontario, Canada.

spp. are common colonizers of the oral mucosa and respiratory tract in lung transplant recipients. Although thought to be non-pathogenic in most cases, donor derived infections related to Candida spp. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.mmcr.2019.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439223PMC
June 2019
1 Read

Thoracic Complications of Bariatric Surgeries: Overlooked Entities.

Obes Surg 2019 Apr 10. Epub 2019 Apr 10.

Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Introduction: Bariatric surgeries are increasingly performed to treat obesity worldwide. The currently available literature on these surgeries mainly focuses on their abdominal complications, giving less attention to their thoracic ones. Hence, the present work aimed to highlight the thoracic complications associated with bariatric surgeries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11695-019-03868-7DOI Listing
April 2019
1 Read

Severe bacterial meningitis due to an enterothecal fistula in a 6-year-old child with Currarino syndrome: evaluation of surgical strategy with review of the literature.

Childs Nerv Syst 2019 Apr 9. Epub 2019 Apr 9.

Department of Neurosurgery, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, Netherlands.

Meningitis is a rare but serious complication in patients with Currarino syndrome. We present a 6-year-old girl with a fulminant meningitis due to an enterothecal fistula involving the anterior sacral meningocele. Initial treatment consisted of broad-spectrum intravenous antibiotic therapy and laparoscopic construction of a deviating double-loop ileostomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00381-019-04138-8DOI Listing
April 2019
1 Read

Extra-pleural pneumonectomy in the era of image-guided intensity-modulated radiotherapy.

Radiol Med 2019 Apr 8. Epub 2019 Apr 8.

Department of Radiation Oncology, Azienda Ospedaliero Universitaria Careggi, University of Florence, Largo Brambilla, 3, 50134, Florence, Italy.

Purpose: To assess the outcome of malignant pleural mesothelioma patients treated with extra-pleural pneumonectomy (EPP) and adjuvant radiotherapy (RT), using the most advanced radiotherapeutic techniques, namely image-guided intensity-modulated RT (IG-IMRT).

Methods And Materials: Fifty-four patients were analyzed. Minimum radiation dose was 50 Gy (2 Gy/fr). Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11547-019-01030-y
Publisher Site
http://dx.doi.org/10.1007/s11547-019-01030-yDOI Listing
April 2019
4 Reads

Correction of postpneumonectomy syndrome after bronchopleural fistula.

J Cardiothorac Surg 2019 Apr 8;14(1):67. Epub 2019 Apr 8.

Thoracic Surgery Division, Department of Surgery, The Ohio State University Wexner Medical Center, Doan Hall N846, 410 West 10th Avenue, Columbus, OH, 43210, USA.

Background: Postpneumonectomy syndrome is a rare complication of pneumonectomy characterized by mediastinal shift toward the pneumonectomy cavity. Bronchopleural fistula (BPF) is another infrequent complication causing infection of the pneumonectomy space. The combination of both complications poses a major clinical challenge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13019-019-0897-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454817PMC

Update in the Management of Pleural Effusions.

Med Clin North Am 2019 May;103(3):475-485

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, The Vanderbilt Clinic, 1301 Medical Center Drive, B-817 The Vanderbilt Clinic, Nashville, TN 37232-5735, USA. Electronic address:

Pleural effusions are a common clinical problem for the primary care physician. Over the past 10 years, there has been a paradigm shift in the field due to emergence of new evidence, which includes the ubiquitous use of thoracic ultrasound, the reemergence of pleuroscopy as a diagnostic and therapeutic modality, the widespread use of indwelling pleural catheters for malignant pleural effusions, and the evidence-based approach to management of complex parapneumonic effusions. This review focuses on these advancements with an emphasis on practical clinical application. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.mcna.2018.12.007DOI Listing
May 2019
1 Read

Simple chest closure of open window thoracostomy for postpneumonectomy empyema: a case report.

Surg Case Rep 2019 Apr 5;5(1):53. Epub 2019 Apr 5.

Department of Plastic Surgery, Japanese Red Cross Fukui Hospital, Fukui, 2-4-1 Tsukimi Fukui, 918-8501, Japan.

Background: Management of postpneumonectomy empyema requires comprehensive strategies, especially when the condition is associated with large bronchopleural fistulae. We report a case involving the simple chest closure of open window thoracostomy with remaining residual space.

Case Presentation: We performed open window thoracostomy for empyema with a huge bronchial stump dehiscence after right pneumonectomy for a large lung cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-019-0612-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450984PMC
April 2019
1 Read

Empyema thoracis secondary to community-acquired Panton-Valentine leukocidin (PVL) methicillin-resistant (MRSA) infection.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Respiratory Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.

We report a case of a previously fit middle-aged man presenting to the outpatient setting with unilateral pleural effusion, with minimal symptoms. On subsequent investigations, he was diagnosed with empyema thoracis secondary to Panton-Valentine leukocidin (PVL)-toxin positive community-acquired methicillin-resistant (MRSA). The patient was treated with prolonged antibiotics and pleural drainage, and he remained haemodynamically stable throughout hospital admission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-228297DOI Listing
April 2019
4 Reads

Empyema and pyogenic spondylitis caused by direct Streptococcus gordonii infection after a compression fracture: a case report.

Surg Case Rep 2019 Apr 3;5(1):52. Epub 2019 Apr 3.

Department of Orthopedics, National Hospital Organization Matsumoto Medical Center, 2-20-30 Murai-Machi-Minami, Matsumoto, 399-0021, Japan.

Background: Empyema and pyogenic spondylitis are common diseases that are often caused by oral pathogens in direct or hematogenous infection. However, there exists no report describing empyema and pyogenic spondylitis caused by oral pathogens after a compression fracture of the vertebral body. Herein, we report a case of empyema and pyogenic spondylitis caused by direct Streptococcus gordonii infection after a compression fracture of the vertebral body. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-019-0613-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447627PMC
April 2019
2 Reads

Combination of clinical symptoms and blood biomarkers can improve discrimination between bacterial or viral community-acquired pneumonia in children.

BMC Pulm Med 2019 Apr 2;19(1):71. Epub 2019 Apr 2.

Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, Australia.

Background: Differentiating bacterial from viral pneumonia is important for guiding targeted management and judicious use of antibiotics. We assessed if clinical characteristics and blood inflammatory biomarkers could be used to distinguish bacterial from viral pneumonia.

Methods: Western Australian children (≤17 years) hospitalized with radiologically-confirmed community-acquired pneumonia were recruited and clinical symptoms and management data were collected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12890-019-0835-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444754PMC
April 2019
1 Read

Expansile cough impulse: a useful clinical sign for empyema necessitans.

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Department of Internal Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-229696DOI Listing

A Clinical Comparative Analysis of Retroperitoneal Laparoscopic Tuberculous Nephrectomy and Open Tuberculous Nephrectomy.

J Laparoendosc Adv Surg Tech A 2019 Mar 30. Epub 2019 Mar 30.

3 Department of Urology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

Background: This study aimed to investigate the efficacy and safety of retroperitoneal laparoscopic tuberculous nephrectomy (RLTN) and open tuberculous nephrectomy (OTN).

Materials And Methods: One hundred fifty-eight patients treated with RLTN were enrolled in the RLTN group. One hundred patients treated with OTN were enrolled in the control group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/lap.2018.0808DOI Listing
March 2019
4 Reads

Negative pressure wound therapy with instillation without open-window thoracostomy for empyema.

Respirol Case Rep 2019 Jul 19;7(5):e00417. Epub 2019 Mar 19.

Plastic Surgery Okayama Rosai Hospital Okayama Japan.

Treatment of empyema is very challenging. The use of negative pressure wound therapy (NPWT), and NPWT with instillation and dwell time (NPWTi-d) for wound closure have attracted attention. However, they are both limited to use after open-window thoracostomy (OWT) performed to control infection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/rcr2.417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423710PMC

[Surgical Treatment for Pneumopyothorax Secondary to Pancreatic Fistula].

Kyobu Geka 2019 Mar;72(3):209-212

Department of Thoracic Surgery, Sapporo Medical University, Sapporo, Japan.

A 46-year-old woman with cervical cancer with multiorgan metastasis visited our hospital. She underwent a total gastrectomy, splenectomy, distal pancreatectomy, left adrenalectomy, and left partial diaphragmatic resection. Postoperatively, she developed pleural effusion with high level of amylase secondary to a pancreatic fistula, consequently causing left-sided empyema. Read More

View Article

Download full-text PDF

Source
March 2019
2 Reads

A novel diagnostic method for distinguishing parapneumonic effusion and empyema from other diseases by using the pleural lactate dehydrogenase to adenosine deaminase ratio and carcinoembryonic antigen levels.

Medicine (Baltimore) 2019 Mar;98(13):e15003

Division of Allergy/Pulmonary/Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee.

Pleural effusions are a common medical problem not only for pulmonologists but also for general physicians, often needing thoracentesis for a definite diagnosis. However, thoracentesis cannot always reveal malignant cells or microbiological evidence.In this context, we prospectively enrolled a total of 289 patients with pleural effusions due to diverse etiologies: parapneumonic effusion (PPE) (63), empyema (22), tuberculous pleural effusion (TBPE) (54), malignant pleural effusion (MPE) (140), or chronic renal failure (CRF)/congestive heart failure (CHF) (10). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000015003DOI Listing
March 2019
1 Read

[Varicella is not always benign].

Pan Afr Med J 2018 13;31:30. Epub 2018 Sep 13.

Service de Pédiatrie, Centre Hospitalier Universitaire Mohamed VI, Faculté de Médecine et de Pharmacie, Université Mohammed Premier, Oujda, Maroc.

Varicella is a rash illness caused by the varicella-zoster virus. It mainly affects children with usually a benign outcome. However, several complications of variable severity can be observed including bacterial infectious complications and neurological complications. Read More

View Article

Download full-text PDF

Source
http://www.panafrican-med-journal.com/content/article/31/30/
Publisher Site
http://dx.doi.org/10.11604/pamj.2018.31.30.16730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430838PMC
April 2019
3 Reads

Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants.

Pan Afr Med J 2018 5;31:15. Epub 2018 Sep 5.

Department of Neurosurgery, Faculty of Medicine, Pelita Harapan University, Neuroscience Centre Siloam Hospital Lippo Village, Tanggerang, Indonesia.

Bacterial ventriculitis is one of the most common and serious complications of shunt placement. Shunt infection has varied management and is difficult to treat neurosurgically. We report a case of intraventricular empyema due to shunt infection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2018.31.15.16631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430859PMC
April 2019
1 Read

A rare presentation of pleomorphic carcinoma of lung mimic empyema.

Ann Transl Med 2019 Feb;7(3):52

School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Pleomorphic carcinoma (PC) of lung, a rare malignant lung tumor, is predominated in male smokers with over 65 years of age. The clinical presentations of PC are various including chest pain, cough, and dyspnea and so on. Asymptomatic patients have been also reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/atm.2018.12.19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389579PMC
February 2019
1 Read

Electronically delivered interventions to reduce antibiotic prescribing for respiratory infections in primary care: cluster RCT using electronic health records and cohort study.

Health Technol Assess 2019 Mar;23(11):1-70

School of Population Health and Environmental Sciences, King's College London, London, UK.

Background: Unnecessary prescribing of antibiotics in primary care is contributing to the emergence of antimicrobial drug resistance.

Objectives: To develop and evaluate a multicomponent intervention for antimicrobial stewardship in primary care, and to evaluate the safety of reducing antibiotic prescribing for self-limiting respiratory infections (RTIs).

Interventions: A multicomponent intervention, developed as part of this study, including a webinar, monthly reports of general practice-specific data for antibiotic prescribing and decision support tools to inform appropriate antibiotic prescribing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3310/hta23110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452237PMC
March 2019
3 Reads

Use of prophylactic antibiotic in preventing complications for blunt and penetrating chest trauma requiring chest drain insertion: a systematic review and meta-analysis.

Trauma Surg Acute Care Open 2019 22;4(1):e000246. Epub 2019 Feb 22.

Surgery, Queen Mary University of London, London, UK.

Background: Chest drain insertion after chest trauma is often associated with high rate of complications. The use of prophylactic antibiotics in patients with blunt and penetrating chest trauma to prevent empyema and pneumonia after chest drain insertion has been debated.

Objective: To analyze the effectiveness of prophylactic antibiotics versus placebo to prevent complications in patients with blunt and penetrating chest injuries who require the insertion of a chest drain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/tsaco-2018-000246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407548PMC
February 2019
1 Read

Case Report on Pleural Empyema Thoracis and Urinary Tract Infection Caused by from Lagos, Nigeria.

Case Rep Med 2019 7;2019:5321484. Epub 2019 Feb 7.

Molecular Biology & Biotechnology Department, Nigerian Institute of Medical Research, Lagos, Nigeria.

has been implicated as an important cause of invasive diseases such as septicaemia in neonates and immune-compromised adults with high risk of misdiagnosis, mistreatment, and poor outcomes. Here, we report three new cases of infections in three different hospitalised patients with empyema thoracis (one case) and urinary tract infections (two cases) in a tertiary Hospital in Lagos, Nigeria, and the diagnosis was confirmed with the MALDI-TOF MS instrument. The patients were admitted and treated with parenteral antibiotics (ciprofloxacin, cefotaxime, and ceftriaxone) and discharged after clinical cure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/5321484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383417PMC
February 2019

Hepatic hydrothorax: indwelling catheter-related infection.

BMJ Case Rep 2019 Mar 15;12(3). Epub 2019 Mar 15.

Department of Internal Medicine, Centro Hospitalar de Lisboa Central, EPE - Hospital de Santa Marta, Lisboa, Portugal.

Hepatic hydrothorax, a rare and debilitating complication of cirrhosis, carries high morbidity and mortality. First-line treatment consists of dietary sodium restriction and diuretic therapy. Some patients, mainly those who are refractory to medical management, will require invasive pleural drainage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-227635DOI Listing
March 2019
2 Reads

Fungal empyema in complicated chronic pancreatitis: A rare possibility.

Int J Surg Case Rep 2019 Mar 7;57:25-27. Epub 2019 Mar 7.

Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Introduction: Fungal empyema a rare cause of empyema thoracis is commonly associated with nosocomial infection or gastrointestinal disease with very high mortality. Its association with chronic pancreatitis is rarely been described.

Presentation Of Case: We present a case of young male known alcoholic with chronic pancreatitis and cystgastrostomy who presented with dyspnea and fever. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2019.02.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423361PMC
March 2019
1 Read

Relationship of pleural fluid pH and glucose: a multi-centre study of 2,971 cases.

J Thorac Dis 2019 Jan;11(1):123-130

Pleural Medicine Unit, Institute for Respiratory Health, Perth, Australia.

Background: Pleural fluid pH and glucose levels are both recommended in the workup of pleural effusions. Whether their levels correlate and predict each other or contribute independent knowledge is unclear. We aimed to investigate the pH/glucose relationship, assess their concordance and ascertain whether performing both tests provides additional information to performing either test alone. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/jtd.2018.12.101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384369PMC
January 2019
1 Read

Common alternative diagnoses among a pediatric hospital-based cohort evaluated for tuberculosis in Karachi, Pakistan: The need for facilitated referral in tuberculosis clinics.

Int J Mycobacteriol 2019 Jan-Mar;8(1):42-47

Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan; Faculty of Infectious and Tropical Disease, London School of Hygiene and Tropical Medicine, London WCIE 7HT, England, UK.

Background: Children evaluated for tuberculosis (TB) are often diagnosed with miscellaneous conditions that mimic TB. Knowledge of differentials informs policy on service provision through liaison with referral centers offering definitive diagnosis and treatment for common alternative disorders.

Methods: We reviewed medical records of children who were offered diagnostic testing for TB (culture or Xpert MTB/RIF) at a tertiary care hospital in Karachi, Pakistan to identify common alternative diagnoses among children who are evaluated for TB. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ijmy.ijmy_8_19DOI Listing
March 2019
2 Reads

Mycoplasma pneumonia with hydropneumothorax: A case report.

Respir Med Case Rep 2019 22;26:299-300. Epub 2019 Feb 22.

Oakhill Hospital, Brooksville, FL, USA.

Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia in adults. Mycoplasma pneumoniae pneumonia (MPP) presents with pulmonary and extrapulmonary manifestations. Pneumothorax is a rare MPP complication in children. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rmcr.2019.02.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396097PMC
February 2019
1 Read

Outcome after iatrogenic esophageal perforation.

Scand J Gastroenterol 2019 Mar 11:1-5. Epub 2019 Mar 11.

c Department of Pediatric and Gastrointestinal Surgery , Oslo University Hospital, Ullevål , Oslo , Norway.

Objectives: Iatrogenic perforations are the most common cause of esophageal perforation. We present our experience mainly based on a non-operative treatment approach as well as long-term outcome in these patients.

Materials And Methods: Twenty-one patients were treated for iatrogenic esophageal perforation at Oslo University Hospital, Ullevål from February 2007 to March 2014. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/00365521.2019.1
Publisher Site
http://dx.doi.org/10.1080/00365521.2019.1575464DOI Listing
March 2019
7 Reads

Safety and efficacy of computed tomography-guided dye localization using patent blue V for single lung nodule for video-assisted thoracoscopic surgery: a retrospective study.

Ann Transl Med 2019 Jan;7(2):28

Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taichung, Taiwan.

Background: For invisible or impalpable lung nodules, video-assisted thoracoscopic surgery (VATS) has some limitations; some preoperative localization has been developed to overcome this limitation. This study aimed to assess the safety and efficacy of preoperative computed tomography (CT)-guided localization with patent blue V dye.

Methods: In this retrospective study, we examined patients with solitary pulmonary nodule undergoing preoperative CT-guided patent blue V dye localization from 2013 to 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/atm.2019.01.27DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381270PMC
January 2019
2 Reads

Diagnostic challenges in infective endocarditis: is PET/CT the solution?

Infection 2019 Feb 13. Epub 2019 Feb 13.

Department I of Internal Medicine, University of Cologne, KerpenerStraße 62, 50937, Cologne, Germany.

Purpose: Despite developments in both imaging and microbiological techniques, the final diagnosis of IE often remains challenging. In this single-center cohort study, we aimed to identify the specific indications for request of F-FDG-PET/CT in clinical practice and to evaluate the diagnostic benefit of this nuclear imaging technique.

Methods: A total of 235 patients with possible (n = 43) or definite (n = 192) IE according to the revised Duke criteria were prospectively studied from July 2013 until December 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s15010-019-01278-6DOI Listing
February 2019
1 Read

Tuberculous Empyema Necessitatis.

QJM 2019 Mar 7. Epub 2019 Mar 7.

MD resident, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/qjmed/hcz060DOI Listing
March 2019
3 Reads

The great masquerade: Empyema thoracis as an unusual presentation of primary lung malignancy.

Med J Malaysia 2019 Feb;74(1):79-81

Sarawak General Hospital, Department of Medicine, Division of Respiratory Medicine, Sarawak, Malaysia.

Primary lung malignancy presenting as empyema is rare, with a reported incidence of 0.3%. We report a case of a 60- year-old man presenting with unilateral pleural effusion; diagnostic thoracocentesis confirmed Salmonella empyema. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Massive ventilator-associated pleural empyema.

Korean J Intern Med 2019 Mar 8. Epub 2019 Mar 8.

Division of Thoracic Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3904/kjim.2017.359DOI Listing

[Empyema in Left Ureteral Stump Following Bilateral Nephrectomy and Living Renal Transplant-Case Report].

Hinyokika Kiyo 2019 Jan;65(1):19-22

The Department of Urology, Hyogo Prefectural Nishinomiya Hospital.

A 34-year-old male came to us with congenital spina bifida, vesicoureteral reflux and scoliosis. He had been on hemodialysis for chronic renal failure caused by reflux nephropathy since the age of 23 years. At the age of 24, he received bilateral nephrectomy and underwent living renal transplantation from his mother. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14989/ActaUrolJap_65_1_19DOI Listing
January 2019
2 Reads

Prolonged Air Leak After Pulmonary Resection Increases Risk of Noncardiac Complications, Readmission, and Delayed Hospital Discharge: A Propensity Score-adjusted Analysis.

Ann Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Cardiothoracic Surgery, Division of Thoracic and Foregut Surgery, Pittsburgh, PA.

Objective: The aim of the study was to determine whether prolonged air leak (PAL) is associated with postoperative morbidity and mortality following pulmonary resection after adjusting for differences in baseline characteristics using propensity score analysis.

Summary Background Data: Patients with PAL after lung resection have worse outcomes than those without PAL. However, adverse postoperative outcomes may also be secondary to baseline risk factors, such as poor lung function. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003191DOI Listing
February 2019
1 Read

A rare complication of endobronchial ultrasound-guided transbronchial needle aspiration: Pericardial empyema.

Lung India 2019 Mar-Apr;36(2):154-156

Department of Chest Diseases, Kahramanmaras Sutcu Imam University, School of Medicine, Kahramanmaras, Turkey.

Endobronchial ultrasound (EBUS)-guided transbronchial biopsy procedure is widely used for the diagnosis of mediastinal lymphadenopathy. İt is a safe method and the complication rate of procedure is <1%. Rarely, the fatal complications may develop after the intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/lungindia.lungindia_262_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410598PMC

Complications Associated With Placement of Chest Tubes: A Trauma System Perspective.

J Surg Res 2019 Feb 27;239:98-102. Epub 2019 Feb 27.

Center for Injury Sciences, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:

Background: The insertion of a chest tube is a common procedure in trauma care, and the Advanced Trauma Life Support program teaches the insertion of chest tubes as an essential and life-saving skill. It is also recognized that the insertion of chest tubes is not without risks or complications. The purpose of this study was to evaluate complications of chest tube placement in a level 1 trauma center compared with those placed in surrounding referral hospitals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2019.01.012DOI Listing
February 2019

[A Case of Subdural Empyema with Cerebral Arteritis and Brain Ischemia in the Middle Cerebral Artery Distribution, Secondary to Odontogenic Maxillary Sinusitis].

No Shinkei Geka 2019 Feb;47(2):205-210

Department of Neurosurgery, Tachikawa General Hospital, Tachikawa Medical Center.

We present a rare case of subdural empyema with cerebral arteritis and brain ischemia in the middle cerebral artery distribution secondary to odontogenic maxillary sinusitis. A 32-year-old man was admitted to our hospital because of high fever and generalized convulsions. Computed tomography(CT)and magnetic resonance imaging(MRI)showed subdural empyema at the left convexity, with a small amount of air. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11477/mf.1436203918DOI Listing
February 2019
1 Read

Clinical Outcome and Risk Factors for Emergency Department Adult Patients with Thoracic Empyema after Video-Assisted Thoracic Surgical Procedure.

Surg Infect (Larchmt) 2019 Feb 27. Epub 2019 Feb 27.

1 Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taiwan, R.O.C.

Background: Empyema is a purulent infection of the pleural cavity that is most relevant to parapneumonia effusion. Video-assisted thoracoscopic surgery (VATS) is an option for stage 2 (fibrinopurulent) and stage 3 (organizational). Surgeons may see critically ill patients with pleural empyema who present to the emergency department (ED). Read More

View Article

Download full-text PDF

Source
https://www.liebertpub.com/doi/10.1089/sur.2018.239
Publisher Site
http://dx.doi.org/10.1089/sur.2018.239DOI Listing
February 2019
8 Reads

Tricuspid valve infective endocarditis complicated with multiple lung abscesses and thoracic empyema as different pathogens: a case report.

J Cardiothorac Surg 2019 Feb 26;14(1):41. Epub 2019 Feb 26.

Division of general thoracic surgery, department of Surgery, Changhua Christian Hospital, No. 135 Nanxiao St., Changhua City, Changhua County, 500, Taiwan.

Background: Only 4.1% of tricuspid valve IE cases require surgical intervention. The complication after tricuspid valve IE with lung abscess and empyema is rare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13019-019-0867-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390298PMC
February 2019
1 Read

Pneumonectomy for non-tumoral diseases: etiologies and follow-up in 38 cases.

Asian Cardiovasc Thorac Ann 2019 May 26;27(4):298-301. Epub 2019 Feb 26.

1 Department of Thoracic Surgery, Hassan II University Hospital, Fez, Morocco.

Introduction: Pneumonectomy is a surgical procedure associated with high rates of morbidity and mortality. Chronic inflammatory pathologies increase these rates, depending on the degree of pleural symphysis and the underlying pulmonary pathology. The occurrence of a bronchopleural fistula after pneumonectomy remains of great concern to the thoracic surgeon, because it leads to empyema in the pneumonectomy cavity, which requires protracted and difficult management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0218492319834823DOI Listing
May 2019
2 Reads