THE GREENS' CAUSING EMPYEMA THORACIS WITH LUNG ABSCESS IN PATIENT WITH ACHALASIA

Background Empyema thoracis a disease of significant morbidity and mortality, especially in the developing world. However, the optimal management of empyema thoracis remains controversial. Objective To analyse evolving experience in clinical presentation, management, outcome and factors contributing to adverse morbidity in empyema thoracis. Methods This is hospital based retrospective study of patients who were diagnosed with empyema thoracis in cardiothoracic and vascular surgery (CTVS) unit, Bir Hospital, Kathmandu, Nepal over a period of one year (July 2009 to June 2010). A total of forty-six adult cases were categorized into two treatment groups: (i) thoracotomy for decortication (ii) segmentectomy, lobectomy and redo-thoracotomy for pneumonectomy. The median duration of illness prior to hospital admission was compared. The presence of loculated pleural fluid determined the need for thoracotomy. Results Out of forty-six cases, twenty- nine (63.04%) who had early thoracotomy (<22 days) had prompt symptomatic recovery. Forteen out of seventeen (82.35%) of the patients who were initially treated with thoracocentesis or tube thoracostomy eventually needed thoracotomy. There was a positive shift in management towards early thoracotomy resulting in prompt symptomatic recovery. Significant complications were noted in eight patients who had delayed thoracotomy. Complications included recurrent empyema with lung abscess (n = 3), restrictive lung disease (n = 3), bronchopleural fistula (n = 1) and scoliosis (n=1). Conclusion Early thoracotomy and decortication was found to be an excellent surgical procedure with good functional results and high patient satisfaction rate.http://dx.doi.org/10.3126/kumj.v9i1.6253 Kathmandu Univ Med J 2011;9(1):5-7

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Empyema Thoracis and Lung Abscess Caused by Viridans Streptococci

American Journal of Respiratory and Critical Care Medicine ◽

10.1164/ajrccm.156.5.97-03006 ◽

1997 ◽

Vol 156 (5) ◽

pp. 1508-1514 ◽

Cited By ~ 55

Author(s):

JIH-SHUIN JERNG ◽

PO-REN HSUEH ◽

LEE-JENE TENG ◽

LI-NA LEE ◽

PAN-CHYR YANG ◽

...

Keyword(s):

Lung Abscess ◽

Empyema Thoracis ◽

Viridans Streptococci

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Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report

The Kaohsiung Journal of Medical Sciences ◽

10.1016/s1607-551x(10)70008-5 ◽

2010 ◽

Vol 26 (1) ◽

pp. 45-49 ◽

Cited By ~ 1

Author(s):

Chang-Hung Kuo ◽

I-Chen Chen ◽

Shih-Shiung Lin ◽

Ming-Chen Paul Shih ◽

Jiunn-Ren Wu ◽

...

Keyword(s):

Case Report ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Lung Abscess ◽

Empyema Thoracis

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Empyema thoracis and lung abscess due toGemella morbillorum

European Journal of Clinical Microbiology & Infectious Diseases ◽

10.1007/bf01586189 ◽

1996 ◽

Vol 15 (1) ◽

pp. 75-77 ◽

Cited By ~ 16

Author(s):

C. T. K. A. Costa ◽

C. Porter ◽

K. Parry ◽

A. Morris ◽

A. H. Quoraishi

Keyword(s):

Lung Abscess ◽

Empyema Thoracis

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Percutaneous catheter drainage of lung abscess

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1993.29.5.923 ◽

1993 ◽

Vol 29 (5) ◽

pp. 923

Author(s):

Young Shin Kim ◽

Kyung Ah Chun ◽

Hyo Sun Choi ◽

Hyun Kown Ha ◽

Kyung Sub Shinn

Keyword(s):

Lung Abscess ◽

Percutaneous Catheter Drainage ◽

Catheter Drainage ◽

Percutaneous Catheter

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Role of Fibrinolytic Therapy in Empyema Thoracis – A Hospital Based one year Cross Sectional Study

International Journal of Scientific Research ◽

10.15373/22778179/feb2013/116 ◽

2012 ◽

Vol 2 (2) ◽

pp. 345-350

Author(s):

Dr. Girish.L Dandagi ◽

◽

Venkat kalyana kumar. P ◽

Dr. Dr.Isaac Mathew ◽

Dr. Dr.G S Gaude Dr. Dr.G S Gaude

Keyword(s):

Cross Sectional Study ◽

Fibrinolytic Therapy ◽

Empyema Thoracis ◽

Sectional Study ◽

Cross Sectional ◽

One Year

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Clinico-bacteriological Profile and Outcome of Empyema Thoracis in Children at a Tertiary Care Hospital of Central Nepal

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v16i3.30661 ◽

2020 ◽

Vol 16 (3) ◽

Author(s):

Atanu Pan ◽

Debarshi Jana

Keyword(s):

Ct Scan ◽

Broad Spectrum ◽

Chest Tube ◽

Chest Tube Drainage ◽

Diagnostic Tools ◽

High Morbidity ◽

Care Hospital ◽

Empyema Thoracis ◽

First Line ◽

Tube Drainage

Background: Empyema thoracis (ET) is a serious infection of the pleural space. Despite the availability of broad spectrum antibacterial, improved vaccination coverage and better diagnostic tools, Empyema Thoracis remains associated with high morbidity worldwide. Delay in early diagnosis, failure to institute appropriate antimicrobial therapy, multidrug resistant organisms, malnutrition, comorbidities, poor health seeking behaviour and high treatment cost burden contribute to increased morbidity in children. The available treatment options include intravenous broad-spectrum antibiotics either alone or in combination with surgical procedure (thoracocentesis, chest tube drainage, fibrinolytic therapy, decortications with video assistedthoracoscopic surgery (VATS) and open drainage. Methods: Fifty Children between 1 month to 16 years admitted in the Pediatrics Ward, PICU of College of Medical Sciences, Bharatpur,Nepal. Data analysis was done by SPSS 24.0. Results: Present study found that according to blood culture, 3(6.0%) patients had enterococcus, 40(80.0%) patients had no growth, 2(4.0%) patients had pseudomonas, 4(8.0%) patients had staphylococcus and 1(2.0%) patients had streptococcus. We found that 20(40.0%) patients had done CT scan thorax, 30(60.0%) patients had not done CT scan thorax and 32(64.0%) patients had Amoxiclav first line antibiotic and 18(36.0%) patients had Ceftriaxone first line antibiotic. Conclusions: Suitable antibiotics and prompt chest tube drainage is an effective method of treatment of childhood empyema, especially in resource-poor settings. Majority of the patients progress on this conservative management and have good recovery on follow up.

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