Academic literature on the topic 'Empyema'

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Journal articles on the topic "Empyema"

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Ilangamge, S., and D. M. S. Handagala. "Review of the management of empyemas." Ceylon Journal of ECMO, Cardiothoracic Surgery and Critical Care 1, no. 1 (May 17, 2024): 25–32. http://dx.doi.org/10.4038/cjecc.v1i1.4.

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An empyema is a collection of pus in the pleural cavity. It is a serious pathological condition of the pleural space and it can have high morbidity and mortality rates. The most frequent cause of empyema is infection stemming from a parapneumonic effusion. Special challenges in management arise with post-surgical empyemas and those linked to Tuberculosis. This article concentrates on addressing the management of parapneumonic effusions/empyemas.
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Imburgio, Steven, Kameron Tavakolian, Anton Mararenko, Tasfia Tasnim, Taimoor Khan, and Eric Costanzo. "Empyema Versus Lung Abscess: A Case Report." Journal of Investigative Medicine High Impact Case Reports 10 (January 2022): 232470962211392. http://dx.doi.org/10.1177/23247096221139268.

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Lung abscesses and empyemas are 2 forms of pulmonary infection that can present with similar clinical features. However, empyemas are associated with higher morbidity and mortality, necessitating the need to distinguish one from the other. Plain radiographs can sometimes provide clues to help differentiate the 2 pathologies but more often than not, a computed tomography scan is required to confirm the diagnosis. Correct diagnosis is essential, as the goal standard therapeutic intervention for empyemas may be contraindicated in patients with lung abscesses. Empyemas require percutaneous or surgical drainage in combination with antibiotics, while lung abscesses are generally treated with antibiotics alone as drainage can be associated with various complications. We present a case of a 65-year-old man with parapneumonic empyema diagnosed with characteristic findings on chest computed tomography and treated with surgical drainage and antibiotics. We hope to improve patient outcomes by highlighting the classical radiographic findings that help distinguish empyema and abscess.
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Coates, Anne, Oren Schaefer, Karl Uy, and Brian P. O'Sullivan. "Empyema in a Woman with Cystic Fibrosis: A Cautionary Tale." Case Reports in Pulmonology 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/159508.

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Cystic fibrosis (CF) is a disease which predisposes individuals to recurrent infective exacerbations of suppurative lung disease; however, empyema is a rare complication in these patients. Empyemas secondary toStaphylococcus aureusandBurkholderia cepaciahave been described in patients with CF. We report the case of pleural empyema with mixedS. aureusandPseudomonas aeruginosainfection in a 34-year-old woman with CF, which was managed with ultrasound-guided pigtail catheter insertion, fibrinolysis, and antibiotic therapy. Physicians should be aware of this unusual complication in CF patients, especially those receiving an immunosuppressive therapy.
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Medford, ARL, YM Awan, A. Marchbank, J. Rahamim, J. Unsworth-White, and PJK Pearson. "Diagnostic and Therapeutic Performance of Video-Assisted Thoracoscopic Surgery (Vats) in Investigation and Management of Pleural Exudates." Annals of The Royal College of Surgeons of England 90, no. 7 (October 2008): 597–600. http://dx.doi.org/10.1308/003588408x318246.

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INTRODUCTION Video-assisted thoracoscopic surgery (VATS) is the gold standard investigation for diagnosis of pleural exudates. It is invasive and it is important to ensure that it is performed to acceptable national standards. We assumed that VATS empyema fluid culture would not contribute further to microbiological diagnosis in referred culture-negative empyemas. PATIENTS AND METHODS Eighty-six consecutive external referrals for VATS for diagnosis of a cytology-negative pleural exudate (or for further management of the exudate) were studied retrospectively. Diagnostic yield, pleurodesis efficacy and complications were compared to national standards and good practice recommendations. VATS empyema fluid microbiological culture results were compared to pre-VATS empyema fluid culture results. RESULTS VATS was performed well within national standards with a diagnostic yield of 82.3% for cytology-negative exudates, 100% pleurodesis efficacy, 5.8% postoperative fever, with only one significant complication (1.2% rate) and no deaths. Compliance with good practice pleural fluid documentation points was greater than 70%. VATS empyema fluid culture positivity (84.6%) was significantly higher than pre-VATS fluid culture (35%). CONCLUSIONS VATS was performed to acceptable standards. These data confirm the utility and safety of VATS in the right context but also suggest the potential diagnostic utility of VATS empyema fluid culture. Further studies are required to investigate this latter possibility further.
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Swaminathan, Neeraja, Katherine Anderson, Joshua D. Nosanchuk, and Matthew J. Akiyama. "Candida glabrata Empyema Thoracis—A Post-COVID-19 Complication." Journal of Fungi 8, no. 9 (August 30, 2022): 923. http://dx.doi.org/10.3390/jof8090923.

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The COVID-19 pandemic is associated with a significant increase in the incidence of invasive mycosis, including pulmonary aspergillosis, mucormycosis, and candidiasis. Fungal empyema thoracis (FET) is an uncommon clinical presentation of invasive fungal disease (IFD) associated with significant mortality. Here, we describe the first report of a patient with post-COVID-19 multifocal necrotizing pneumonia complicated by a polymicrobial empyema that included Candida glabrata. Candida empyemas represent another manifestation of a COVID-19-associated fungal opportunistic infection, and this infrequently encountered entity requires a high degree of clinical suspicion for timely identification and management. Therapy for empyemas and other non-bloodstream Candida infections may differ from candidemia due to several pharmacokinetic parameters impacting bioavailability of the antifungal in the affected tissue (e.g., pleural space) and is an area that needs more investigation.
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Keeling, W. Brent, Joseph R. Garrett, Nasreen Vohra, Thomas S. Maxey, Elizabeth Blazick, and K. Eric Sommers. "Bedside Modified Clagett Procedure for Empyema after Pulmonary Resection." American Surgeon 72, no. 7 (July 2006): 627–30. http://dx.doi.org/10.1177/000313480607200710.

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The objective of this study is to demonstrate the effectiveness and feasibility in treating empyema after pulmonary resection with a modified Clagett procedure performed at the bedside (BMCP). A retrospective review of a single surgeon's experience at a single institution was undertaken. All operative, postoperative, and outcome data were analyzed. Follow-up data were obtained from subsequent clinic charts. Five patients, including four males, were identified who underwent BMCP after pulmonary resection. The original operative procedures included two lobectomies, one pneumonectomy, one bilobectomy, and one bilateral metastastectomy. Patients were diagnosed with an empyema (positive thoracostomy tube culture, fever, and radiographic abnormality) at a mean time of 31 days from their initial procedure. Culture results disclosed Gram-positive empyemas in all patients. Three patients underwent BMCP as an outpatient, whereas the other two had BMCP during their hospitalizations. All patients are free from complications or recurrence at a mean follow up of 11.2 months. No patient required a further procedure after BMCP. The bedside modified Clagett procedure is both safe and effective. It is a valuable option in the management of postoperative empyema because it avoids additional operative procedures. This procedure is cost-effective when compared with operative management of perioperative empyema.
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Mohamed, Lazraq, Bensaid Abdelhak, Miloudi Youssef, and Elharrar Najib. "Cerebral Empyema Complicating a Dental Abscess." General Medicine and Clinical Practice 2, no. 1 (July 17, 2019): 01–03. http://dx.doi.org/10.31579/2639-4162/017.

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Cervico-facial cellulitis can cause serious complications including neuro-meningeal infections. Among these neuro-meningeal infections are intracranial empyemas, which are rarer than brain abscesses. We report the case of a young patient of 25 years, immunocompetent, having presented a cerebral empyema secondary to diffuse cervicofacial cellulitis of dental origin. The diagnosis was suspected in the presence of cervicofacial cellulitis, febrile meningeal syndrome and consciousness disorder, confirmation was reported by brain MRI. The evolution was favorable after the recourse to the surgical treatment.
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Khatomkin, D. M., A. A. Vorobev, I. A. Vorobev, N. V. Komissarova, and A. V. Kobelev. "Surgical treatment of a patient with purulent frontal sinusitis and falcotentorial empyema." Russian journal of neurosurgery 25, no. 1 (March 30, 2023): 78–84. http://dx.doi.org/10.17650/1683-3295-2023-25-1-78-84.

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Background. Subdural empyemas are accumulation of pus between the dura mater and the arachnoid mater of the brain. They represent 12–25 % of all intracranial purulent‑inflammatory diseases. 70–80 % of them are located convexitaly and 10–20 % in the area of the falx cerebri. A spread of pus on the tentorium cerebellum occurs rare. Without timely treatment, that includes massive therapy with antibiotics and drainage of the subdural empyema, most of the patients die in the result of progression of the secondary purulent meningoencephalitis and dislocation of the brain.Аim. To report the case of subdural empyema of rare localization – in the left part of the interhemispheric fissure and supratentorial space, to demonstrate the effectiveness of prolonged continuous flow drainage in treatment of the subdural empyema in this particular case.Materials and methods. 16‑year‑old patient was admitted into the neurosurgical department of the 1‑st Republican clinical hospital of the Izhevsk city with pronounced general infectious and meningeal syndrome and paresis of the muscles of his right shin and foot. CT scans revealed frontal sinusitis and subdural empyema of the left part of the interhemispheric fissure and the supratentorial space. In addition to intravenous antibacterial therapy with vancomicyn and Meronem bifrontal cranioectomy, debridement of the frontal sinus, obliteration of it’s residual cavity with free muscle graft and external drainage of the subdural empyema with following continuous irrigation during 6 days after surgery had been performed. At the time of discharge from the neurosurgical department 16 days after the operation complete regress of the general infectious and meningeal syndrome was observed.Results. On control examination 44 days after the surgery the patient’s condition was normal and he had no neurolog ical deficit. On the series of MRI scans preformed 6 months latter, after the cranioplasty, no remnants of the subdural empyema were revealed.Conclusions. This clinical case demonstrates the effectiveness of the prolonged continuous flow drainage in combination with systemic antobioticotherapy and elimination of the primary source of infection within the frontal sinus in treatment of the large and deeply situated subdural empyema of rare falcotentorial localization.
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Anthonisen, Nick R. "Empyema." Canadian Respiratory Journal 15, no. 2 (2008): 69–70. http://dx.doi.org/10.1155/2008/927191.

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Parry, Wyn. "Empyema." Surgery (Oxford) 22, no. 5 (May 2004): 103–5. http://dx.doi.org/10.1383/surg.22.5.103.33381.

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Dissertations / Theses on the topic "Empyema"

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Bok, Arnold Pierre Louis. "Subdural empyema : a clinical study." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/25699.

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Subdural empyema is a relatively rare condition that carries a high mortality if not treated adequately. The experience at Groote Schuur Hospital over 8 years from 1979 to 1986 was reviewed. 47 cases of subdural empyema following on contiguous or distant infection, or where the source was not known, were included in this study. Subdural empyema following cranial operation, head trauma~, or meningitis was excluded. Computer Tomographic scanning facilitated early diagnosis and pinpointed subdural collections, and was used postoperatively, to locate residual subdural pus, which was then drained. The results indicate that an aggressive approach using modern radiological techniques to guide surgical procedures, vastly improves the outcome from subdural empyema. The mortality rate was only 8,5%, while 72,3% of our patients were cured and returned to pre-disease activity. The availability of Computer Tomographic scanning in the management of subdural empyema improves the outcome of patients treated with burrhole drainage and diminishes the need for craniotomy. Rare cases may even be managed with antibiotics only. It remains important to deal with the source of subdural empyema - paranasal in 31, otogenic in 10, osteitis in 2 and not known in 4 of the patients. Anaerobic organisms (28%), which are difficult to culture, and contribute to the high incidence of sterile cultures (32%), play an important role in subdural empyema. Chloramphenicol remains the most useful antibiotic. In the long term only 18,6% of patients had seizures and only 16,3% had focal neurological signs. Complications, especially brain abscess developed in 5 cases where pus was not drained adequately initially, and this contributed to a poorer outcome. Steroid administration did not seem to affect the management of subdural empyema. Repeated surgical drainage and administration of broad spectrum antibiotics remain the mainstays of the treatment of subdural empyema.
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Heath, Claire Jane. "The pathogenesis of pleural empyema caused by Streptococcus pneumoniae." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/384729/.

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Mischenko, Y. "Features of diagnosis and treatment of encysted pleural empyema." Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45879.

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The incidence of non-specific pathological processes of the lung and pleura increases every year. Encysted empyema is leading in terms of morbidity and mortality among all the diseases of the lungs and pleura. Just empyema remains one of the biggest problems in diagnosis for doctors of primary and secondary levels of medical care. Up to this point there is no single diagnostic algorithm for the disease. And as a result we don‘t have the single algorithm of treatment of encysted pleural empyema.
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Thomas, Matthew F. "The increasing incidence of childhood empyema thoracis : epidemiology and clinical aspects." Thesis, University of Newcastle upon Tyne, 2013. http://hdl.handle.net/10443/2243.

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Historically, empyema thoracis has been a major cause of morbidity and mortality in children. It became the focus of considerable attention following its resurgence globally in the 1990’s. The factors driving this change remain uncertain. In addition, there remains significant controversy over the best method of management of the condition. This thesis aimed to define the epidemiology of paediatric empyema thoracis, to understand the factors contributing to the rise in the incidence of the disease. Secondary aims included investigation of the impact of the pneumococcal conjugate vaccine on paediatric empyema and evaluation of the effectiveness of different treatment methodologies in the condition. A progressive framework of multivariate time series models and wavelet analysis was used to investigate relationships between empyema and pneumonia, activity of Streptococcus pneumoniae, Staphylococcus aureus, Streptococcus pyogenes and Mycoplasma pneumoniae and time. The spatial epidemiology of the both conditions in North East England was defined and the impact of the introduction of routine pneumococcal vaccination investigated using an interrupted time series analysis. Multivariate survival models were used to investigate outcomes following different treatment methods. Hospitalisations due to empyema increased significantly in England between 1997 and 2006, underpinned by an increase in bacterial pneumonia. Isolations of S. pneumoniae and S. pyogenes were positive predictors of empyema nationally. No spatial variation in the risk of empyema was detected. Introduction of pneumococcal vaccination did not decrease empyema hospitalisations. Children who underwent primary surgical treatment for their empyema had a 40% reduction in hospital stay and a lower risk of readmission or of any complication. The increase in the incidence of paediatric empyema in England was driven predominantly by an increase in pneumococcal and streptococcal pneumonia. Primary surgery in empyema allowed earlier discharge, but further research is needed to establish which outcomes are most acceptable to patients and their families.
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Міщенко, Юрій Олександрович, Юрий Александрович Мищенко, and Yurii Oleksandrovych Mishchenko. "Емпієма плеври - проблема сучасної торакальної хірургії." Thesis, Сумський державний університет, 2015. http://essuir.sumdu.edu.ua/handle/123456789/41974.

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Емпієма плеври являється найбільш грізним ускладненням запальних захворювань легень, травм грудної клітки та оперативних втручань. Кожного року приріст неспецифічних захворювань легень складає 5 %. Закономірно зростає кількість хворих на гостру та хронічну емпієму плеври. За останнє десятиріччя відмічається повільний, але стійкий ріст захворюваності на гостру пневмонію, яка у 4% випадків ускладнюється розвитком емпієми плеври.
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Freitas, Sergio Luiz Oliveira de. "Toracoscopia em crianças com derrame parapneumônico complicado na fase fibrinopurulenta." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2006. http://hdl.handle.net/10183/11504.

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Introdução: Apesar de a toracoscopia ser o procedimento preconizado em crianças com derrame pleural parapneumônico complicado (DPPC) na fase fibrinopurulenta, a grande maioria dos trabalhos citados na literatura é de relato de casos ou revisão de pequeno número de pacientes. Este estudo interinstitucional foi realizado para determinar a eficácia deste procedimento em número significativo de crianças com DPPC na fase fibrinopurulenta. Métodos: Estudo retrospectivo de 99 crianças (0,4 a 11 anos; idade média 2,6 anos) submetidas à toracoscopia para tratamento de DPPC na fase fibrinopurulenta, operadas em três hospitais diferentes e com mesmo algoritmo de tratamento, no período de novembro de 1995 a julho de 2005. Resultados: A toracoscopia foi eficaz em 87 crianças (87%); 12 (13%) necessitaram de outro procedimento cirúrgico - 6 novas toracoscopias e 6 toracotomia/pleurostomia. O tempo médio de drenagem após a toracoscopia foi de 3 dias naqueles em que a toracoscopia foi efetiva e de 10 dias nos reintervidos (P < 0,001). Todos resolveram a infecção pleural. As complicações da toracoscopia foram enfisema subcutâneo na inserção do trocater em duas crianças (2%), infecção da ferida operatória em outras duas (2%), sangramento pelo dreno torácico em 12 (12%) e fístula bronco pleural em 16 (16%). Nenhuma necessitou intervenção cirúrgica, Conclusões: A efetividade da toracoscopia em crianças com DPPC na fase fibrinopurulenta foi de 87%. O procedimento mostrou-se seguro, com baixa incidência de complicações graves, devendo ser considerada como primeira opção em crianças com DPPC na fase fibrinopurulenta.
Introduction: Although Thorachoscopy being a procedure used to treat children with complicated parapneumonic pleural effusion (DPPC) in fibrinopurulent stage, most of the works presented in literature are case reports of only a few patients. The purpose of this work is to carry on a cross institutional study to determine the method’s effectiveness on a significant number of children with DPPC in its purulent stage. Methods: This is a retrospective case study of 99 children (ages 0,4 to 11; average age 2,6), from November 1009 to July 2005, submitted to thorachoscopy for the treatment of DPPC in fibrinopurulent stage, operated in three different hospitals and with the same treatment algorithm. Results: Thorachoscopy was effective for 87 children (87%). 12 (12%) needed to be submitted to another surgery – 6 to another thorachoscopy and 6 to thorachotomy/pleurostomy. The average draining time after thorachoscopy was 3 days for those whose thorachoscopy was effective and 10 days for those who were submitted to a new surgery (P< 0,001). In all cases, the pleural infection was successfully treated. Complications of the thorachoscopy were subcutaneous emphysema in the trocater insertion on two patients (2%), infection of the surgery incision on two other patients, bleeding through drain on 12 patients (12%) and bronchialpleural fistula on 16 patients (16%). None of them needed surgical treatment. Conclusion: The effectiveness of thorachoscopy on children with DPPC in fibrinopurulent stage was 87%. The procedure had low incidence of serious complications, and should be considered the first treatment option for children with DPPC in fibrinopurulent stage.
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Rahman, Najib. "Clinical trials in pleural disease." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:930991f1-3424-4b96-984e-06df7f6e9204.

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The focus of this thesis is on practice changing clinical studies which impact upon the day to day treatment of patients with pleural infection, answering specific questions on several aspects of patient management. Specific areas of assessment in this thesis include: Assessment of the current evidence for optimal drain size choice in patients with pleural infection; Analysis and statistical modelling of a previous cohort of patients with pleural infection, in order to assess optimal drain size choice in pleural infection; The design, conduct and analysis of a 2 x 2 factorial multi-centre randomised, placebo controlled trial to assess the efficacy of two novel intrapleural agents (tPA and DNase) in aiding drainage in patients with pleural infection (The 2nd Multi-centre Intrapleural Sepsis Trial, referred to from here on as MIST2); Validation work informing the primary outcome measure of MIST2, assessing the relationship between chest radiograph imaging of infected pleural effusion and CT measured volume of pleural fluid using novel digital measurement strategies.
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Дужий, Ігор Дмитрович, Игорь Дмитриевич Дужий, Ihor Dmytrovych Duzhyi, Юрій Олександрович Міщенко, Юрий Александрович Мищенко, Yurii Oleksandrovych Mishchenko, Галина Павлівна Олещенко, Галина Павловна Олещенко, Halyna Pavlivna Oleshchenko, and В. О. Олещенко. "Деякі особливості хірургічного лікування осумкованих емпієм плеври." Thesis, Національний інститут фтизіатрії і пульмонології імені Ф.Г. Яновского, 2019. https://essuir.sumdu.edu.ua/handle/123456789/81281.

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Запропонований метод оперативного лікування емпієм плеври за їхньої схильності до осумкування і ризиках щодо проведення плевректомії може бути застосований у комбінації з антибактеріальною лімфо- тропною терапією.
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Pinotti, Karin Franco. "Utilidade da ultra-sonografia no manejo do derrame pleural parapneumônico em crianças /." Botucatu : [s.n.], 2005. http://hdl.handle.net/11449/86329.

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Orientador: Antônio José Maria Cataneo
Resumo: A radiografia simples de tórax (RX) é um exame já consagrado, no derrame pleural parapneumônico (DPP), mas através dela não é possível determinar a viscosidade do líquido, presença de loculações ou encarceramento pulmonar, que podem ser avaliados pela ultrassonografia torácica (US). Avaliar prospectivamente a utilidade da US feita antes da drenagem em crianças internadas com DPP. Todas as crianças internadas com diagnóstico de DPP após RX deveriam passar pela US onde eram avaliadas: loculação pleural, ecogenicidade e quantidade de líquido estimada. Após punção era avaliado o aspecto, pH e bioquímicos do líquido pleural. Nos drenados era aferido o volume do líquido drenado para comparação com o volume estimado pela US. Os pacientes sem melhora clínica ou radiológica após drenagem eram encaminhados para procedimento cirúrgico maior. De agosto de 2001 a julho de 2003 foram avaliadas 52 crianças (31?, 21?) com idade de 5 meses a 13 anos, predominando a faixa etária menor que 2 anos. Destas, foi realizada US em 48, das quais 35 foram drenadas e 13 tratadas clinicamente. Dois dos drenados necessitaram de cirurgia maior. A US mostrou derrame livre em 38 e loculado em 10 casos. Dos livres foram drenados 25 (65,8%) e dos loculados 10 (100%). Quanto à ecogenicidade13 eram anecóicos, 18 espessos com septações e 17 espessos sem septações; foram drenados 6 anecóicos (46,15%), 15 espessos com septação (83,33%) e 14 espessos sem septação (82,35%). O volume de líquido estimado pela US variou de 20 a 860 ml. Quanto à ecogenicidade, o volume do líquido foi significativamente maior nos espessos com septação, e quanto à loculação foi significativamente maior nos loculados. Não houve diferença significante nos bioquímicos quando os grupos foram separados pela ecogenicidade, mas o pH e glicose pleurais foram significantemente menores e o DHL significativamente... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Utility of thoracic ultrasound in the management of parapneumonic effusions in children. Thoracic radiography, a well-known procedure in parapneumonic effusion (PPE), cannot evaluate fluid viscosity, the presence of loculations or "trapped lung", all of which can be established by thoracic ultrasound (US). Prospectively evaluate the utility of US before pleural drainage in children with PPE. All children hospitalized for PPE, identified by thoracic radiography, underwent US to assess pleural loculation, echogenicity, and amount of pleural fluid. After thoracocentesis, the extracted fluid was examined for gross appearance and was submitted to biochemical analysis. Among patients who underwent pleural drainage, the amount of fluid obtained from the procedure was compared to the amount estimated by US. Patients without clinical or radiological improvement underwent a more significant surgical procedure. From August 2001 to July 2003, 52 children (31 male, 21 female) were examined. These children ranged in age from 5 months to 13 years with the majority under the age of two. An US was performed on 48 of these children, 35 of whom received chest tube drainage and 13 of whom only received clinical treatment. Two pleural drainage patients, required a more significant surgical procedure. US identified 38 patients with free-flowing pleural fluid and 10 with loculated pleural fluid. Twenty five of the patients (65.8%) with free-flowing pleural fluid and 10 (100%) with loculation received chest tube drainage. Among patients with echogenicity, 13 were anechoic, 17 echoic without septations and 18 echoic with septations; 6 anaechoic (46.15%), 14 echoic without septations (82.35%) and 15 echoic with septations (83.33%) required chest tube drainage. The amount of fluid estimated by US varied from 20 to 860 ml. The volume of fluid was higher among patients that were echoic with... (Complete abstract click electronic access below)
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Литвинов, И. О., А. М. Пискарева, and Г. Н. Писаренко. "Эффективность использования видеоторакоскопических операций в лечении острой эмпиемы плевры." Thesis, Сумский государственный университет, 2015. http://essuir.sumdu.edu.ua/handle/123456789/42129.

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Эмпиема плевры (ЭП) встречается у 3-5% больных с гнойно- воспалительными заболеваниями, требующими хирургического лечения. В сравнении с видеоторакоскопическими операциями (ВТО) открытые оперативные вмешательства более травматичны, с длительным послеоперационным периодом.
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Books on the topic "Empyema"

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K, Ferguson Mark, ed. General thoracic surgery. Philadelphia: W.B. Saunders Company, 2002.

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Nnaabagereka, Sylvia Nagginda. Buganda empya: Obwakabaka obutonda eby'obugagga. Kampala: Kyakubibwa Limitless Opportunities Ltd., 2007.

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Niessen, Timothy. Pleural Effusions (Parapneumonic Process and Empyema). Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0024.

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Pleural effusions occur when an influx of fluid into the pleural space exceeds its removal. An exudative effusion, which results from leaky barriers, is often associated with infections. Parapneumonic effusions are exudative pleural effusions adjacent to pulmonary infections. Most parapneumonic effusions are sterile and resolve with treatment of the underlying pneumonia. They may, however, evolve through the exudative, fibrinopurulent, and organizing phases of empyema formation. Empyema occurs when frank pus occupies the pleural space and requires drainage. For parapneumonic process, antibiotic selection is similar to that for pneumonia and should target the underlying infectious organism according to culture and susceptibility results. Initial empiric therapy should take into account local antibiotic policies, resistance patterns, and should include anaerobic coverage. In some cases, after antibiotics and thoracentesis are initiated, surgical intervention may be necessary. Timely drainage of complicated parapneumonic effusions or empyema is critical.
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West, Tyler R., and Kelly J. Baldwin. Spinal and Intracranial Epidural Abscess, and Subdural Empyema. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0151.

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A spinal epidural abscess is an infection that resides in the epidural space of the spinal canal, and most commonly occurs from hematogenous seeding or direct extension from adjacent structures. Normal skin flora such as Staphylococcus and Streptococcus spp are the most common organisms to cause an epidural abscess, typically when host immunity is compromised or due to barrier disruption. The clinical presentation is heterogeneous, but often will progress over time to spinal cord compression. Intracranial epidural abscess and subdural empyema occur within the skull and are frequently spread via direct extension of infections from contiguous structures or as complications from neurosurgical procedures. Prompt diagnosis and treatment is essential for improving morbidity and mortality.
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A brief consideration of empyema of the accessory cavities of the nose. [S.l: s.n., 1985.

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A brief consideration of empyema of the accessory cavities of the nose. [S.l: s.n., 1985.

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Cerebral complications caused by extension from the accessory cavities of the nose. [S.l: s.n.], 1985.

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Grundy, Seamus. Pleural infection and malignancy. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0143.

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Pleural infection transitions from simple parapneumonic effusion, to complex parapneumonic effusion, to empyema. Primary empyema occurs without an underlying pneumonic process. Pleural infection commonly presents identically to pneumonia with dyspnoea, purulent sputum, and fevers. It may be associated with pleuritic chest pain. Empyema can cause systemic sepsis, leading to cardiovascular instability and multi-organ failure. A malignant pleural effusion arises when malignant cells infiltrate the pleura, resulting in increased production and decreased lymphatic drainage of pleural fluid. Malignant pleural effusions are either metastatic or primary mesothelioma. This chapter discusses pleural infection, malignant pleural effusion, and mesothelioma, focusing on etiology, symptoms, demographics, diagnosis, prognosis, and treatment.
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Török, M. Estée, Fiona J. Cooke, and Ed Moran. Respiratory, head, and neck infections. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199671328.003.0014.

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This chapter covers the common cold, pharyngitis, retropharyngeal abscess, quinsy (peritonsillar abscess), Lemierre’s disease, croup, epiglottitis, bacterial tracheitis, laryngitis, sinusitis, mastoiditis, otitis externa, otitis media, dental infections, lateral pharyngeal abscess, acute bronchitis, chronic bronchitis, bronchiolitis, community-acquired pneumonia, aspiration pneumonia, hospital-acquired pneumonia, ventilator-associated pneumonia, pulmonary infiltrates with eosinophilia, empyema, lung abscess, cystic fibrosis, bronchiectasis, and pulmonary tuberculosis.
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Török, M. Estée, Fiona J. Cooke, and Ed Moran. Neurological infections. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199671328.003.0019.

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This chapter covers both acute bacterial and viral, and chronic, meningitis, as well as tuberculous, cryptococcal, coccidioidal, and Histoplasma meningitis, describing meningeal symptoms (headache, neck stiffness, vomiting, photophobia) and cerebral dysfunction (confusion, coma). The chapter also covers neurocysticercosis (including parenchymal and extra-parenchymal cysts), encephalitis (an inflammatory process in the brain characterized by cerebral dysfunction), as well as brain abscess, cerebritis, subdural empyema, epidural abscess, and cerebrospinal fluid shunt infections.
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Book chapters on the topic "Empyema"

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Cooley, Laura A., Daniel G. Bausch, Marija Stojkovic, Waldemar Hosch, Thomas Junghanss, Marija Stojkovic, Waldemar Hosch, et al. "Empyema." In Encyclopedia of Intensive Care Medicine, 841–45. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_39.

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Venardos, Neil, and John D. Mitchell. "Empyema." In Emergency General Surgery, 367–75. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96286-3_32.

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Singh, Michael, and Dakshesh Parikh. "Empyema." In Pediatric Surgery, 1–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 2020. http://dx.doi.org/10.1007/978-3-642-38482-0_100-1.

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Loveland, J., and D. J. van der Merwe. "Empyema." In ABC of Pediatric Surgical Imaging, 38–39. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-89385-1_19.

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Esposito, David. "Empyema." In Common Surgical Diseases, 477–80. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4757-2945-0_108.

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Lillie, Patrick. "Empyema." In Practical Clinical Microbiology and Infectious Diseases, 179–80. First edition. | Boca Raton : CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781315194080-4-17.

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Sujka, Joseph, and Shawn D. St Peter. "Empyema." In Operative Pediatric Surgery, 139–44. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-17.

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Medina, Daniel C., Khanjan H. Nagarsheth, Mayur Narayan, and James V. O’Connor. "Empyema." In Encyclopedia of Trauma Care, 532–34. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-29613-0_127.

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Singh, Michael, and Dakshesh Parikh. "Empyema." In Springer Surgery Atlas Series, 101–5. Berlin, Heidelberg: Springer Berlin Heidelberg, 2019. http://dx.doi.org/10.1007/978-3-662-56282-6_15.

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Singh, Michael, and Dakshesh Parikh. "Empyema." In Pediatric Surgery, 123–37. Berlin, Heidelberg: Springer Berlin Heidelberg, 2021. http://dx.doi.org/10.1007/978-3-662-43559-5_100.

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Conference papers on the topic "Empyema"

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Rosas, M., and E. T. Mccann. "A Transudative Empyema: Spontaneous Bacterial Empyema." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a6770.

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Yamazaki, Akio, Akihiro Ito, Tadashi Ishida, and Yasuyoshi Washio. "Polymicrobial empyema has a poor prognosis compared to monomicrobial empyema." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa4131.

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Gupta, Khyati, Jaspreet S. Ahuja, Edwin L. Annan, Mohammed U. Sharif, and Phillip H. Factor. "Empyema Following Elective Lithotripsy." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5193.

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Badi, H. A., F. A. Solorio, F. M. Khateeb, and F. Safi. "Empyema, It’s Not Always Bacterial." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6841.

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Epelbaum, Oleg, and John Kazianis. "Chylous Empyema Or Empyematous Chylothorax?" In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a6460.

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de Castro Maia, Dionísio Joaquim, João Santos Silva, David Silva, Ana Rita Costa, João Eurico Reis, Ricardo Coelho, Alexandra Mineiro, Paulo Calvinho, and João Cardoso. "Pleural empyema – does time matter?" In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa2571.

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Gupta, A., M. Elfishawi, T. O'Brien, and T. Trandafirescu. "Actinomyces Necrotizing Pneumonia and Empyema." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3227.

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Awad, M. T. T., T. Said Ahmed, M. Banifadel, K. Srour, P. Tewari, and E. Klada. "Case Report: Actinomyces Odontolyticus Empyema." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3259.

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Parra-Rodriguez, L., R. Nasim, A. Mohammed, D. Singh, and S. B. Smith. "Empyema Necessitans from Streptococcus Constellatus." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3712.

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Tamae Kakazu, Maximiliano A., William Clapp, and Aiyub Patel. "Actinobacillus Actinomycetemcomitans Causing empyema Necessitatis." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4734.

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