scholarly journals Congenital pneumonia with empyema at birth; a rare presentation

2017 ◽  
Vol 4 (4) ◽  
pp. 1541
Author(s):  
Saransh Sabal ◽  
Kavita Tiwari ◽  
Lakhan Poswal
Keyword(s):  
Respiratory Distress ◽  
Chest Tube ◽  
Rare Complication ◽  
Empyema Thoracis ◽  
Tube Insertion ◽  
Successful Management ◽  
Rare Presentation ◽  
Severe Respiratory Distress ◽  
Tube Drainage ◽  
Case Characteristics

Empyema thoracis is a rare complication of congenital pneumonia in neonates. Case characteristics: A newborn presented with severe respiratory distress had empyema thoracis. Outcome: patient was managed with chest tube insertion and antibiotics. Message: empyema can be a rare complication of congenital pneumonia and along with appropriate antibiotics, chest tube drainage is required for successful management. 

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

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.  

scholarly journals Bradycardia after Tube Thoracostomy for Spontaneous Pneumothorax

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Yomi Fashola ◽  
Sanjeev Kaul ◽  
Douglas Finefrock
Keyword(s):  
Elderly Patient ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Shortness Of Breath ◽  
Tube Insertion ◽  
Chest Tube Insertion ◽  
Severe Bradycardia ◽  
Life Threatening

We present the case of an elderly patient who became bradycardic after chest tube insertion for spontaneous pneumothorax. Arrhythmia is a rare complication of tube thoracostomy. Unlike other reported cases of chest tube induced arrhythmias, the bradycardia in our patient responded to resuscitative measures without removal or repositioning of the tube. Our patient, who had COPD, presented with shortness of breath due to spontaneous pneumothorax. Moments after tube insertion, patient developed severe bradycardia that responded to Atropine. In patients requiring chest tube insertion, it is important to be prepared to provide cardiopulmonary resuscitative therapy in case the patient develops a life-threatening arrhythmia.

scholarly journals Empyema thoracis in a Nigerian neonate: case report and brief literature review

2021 ◽  
Vol 8 (7) ◽  
pp. 1271
Author(s):  
Ezinwa O. Ezuruike ◽  
Ndubuisi K. Chukwudi ◽  
Nathan U. Nwokeforo ◽  
Mary-Anna Ekpe Obioma
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Distress ◽  
Chest Tube ◽  
Hospital Admissions ◽  
Neonatal Period ◽  
Tube Thoracostomy ◽  
Empyema Thoracis ◽  
Paediatric Hospital

Empyema thoracis (ET) is a significant cause of paediatric hospital admissions and mortality but an infrequent finding in the neonatal period. Our case was a three week old male who presented with respiratory distress and had empyema thoracis. He was managed successfully with antibiotics and chest tube thoracostomy drainage.

Tubercular liver abscess rupturing into the pleural cavity: a rare complication

2019 ◽  
Vol 49 (4) ◽  
pp. 320-322
Author(s):  
Mohit Bansal ◽  
Poonam Dalal ◽  
Yogender Kadian ◽  
Navneeti Malik
Keyword(s):  
Liver Abscess ◽  
Clinical Evidence ◽  
Pleural Cavity ◽  
Rare Complication ◽  
Successful Management ◽  
Tube Drainage ◽  
Liver Abscesses ◽  
Antitubercular Treatment

Liver abscesses, either pyogenic or amoebic, with or without the involvement of the pleura, are not infrequently encountered in children. Isolated tubercular liver abscess without active pulmonary, gastrointestinal or other clinical evidence of tuberculosis is, however, rare and more so its rupture into the pleura. We report a case of a 14-year-old girl who presented with a liver abscess rupturing into the pleura causing an empyema. Successful management was achieved by intercostal tube drainage and antitubercular treatment.

Acquired Eventration of the Diaphragm: A Complication of Chest Tube Placement in Neonatal Pneumothorax

PEDIATRICS ◽  
1981 ◽  
Vol 67 (4) ◽  
pp. 552-554 ◽  
Author(s):  
Philip V. Marinelli ◽  
Amil Ortiz ◽  
Errol R. Alden
Keyword(s):  
Respiratory Distress ◽  
Chest Tube ◽  
Distress Syndrome ◽  
Tension Pneumothorax ◽  
Male Infant ◽  
Assisted Ventilation ◽  
Tube Placement ◽  
Unusual Complication ◽  
Tube Insertion ◽  
Closed Tube

Air leaks are frequently encountered in newborns with respiratory distress syndrome who require assisted ventilation.1 Tension pneumothorax is a lifethreatening emergency that requires prompt drainage of the pleural space with a chest tube. Hemorrhage,2 lung perforation, 34 and infarction,5 are reported complications of closed tube thoracostomy. Recently, Ayalon et al6 have reported an unusual complication: phrenic nerve injury with diaphragmatic eventration. This communication also describes an infant with acquired eventration of the diaphragm following chest tube insertion. CASE REPORT D. L., a 1,480-gm male infant of a 30-week gestational pregnancy developed respiratory distress that required 40% oxygen. Chest radiographs revealed diffuse bilateral reticulogranular pattern and air bronchograms.

Rhinosporidiosis of trachea: a clinical cause for concern

2008 ◽  
Vol 122 (4) ◽  
Author(s):  
R Arora ◽  
R Gupta ◽  
Amit Kumar Dinda
Keyword(s):  
Sri Lanka ◽  
Respiratory Distress ◽  
Rare Complication ◽  
Pathological Examination ◽  
Complete Excision ◽  
Severe Respiratory Distress ◽  
Risk Of Bleeding ◽  
Emergency Tracheostomy ◽  
Bronchoscopic Biopsy ◽  
Life Threatening

AbstractBackground:Rhinosporidiosis is a granulomatous infection usually affecting the nasal mucosa and conjunctiva. The disease is widely prevalent in India and Sri Lanka. Tracheo-bronchial involvement is extremely rare and is potentially life threatening. Diagnosis of tracheal involvement is a challenge due to the risk of bleeding during attempted bronchoscopic biopsy.Case:A 73-year-old man was admitted with severe respiratory distress, for which emergency tracheostomy was performed. At tracheostomy, a fleshy mass was seen emerging from the wound. Pathological examination of the mass confirmed rhinosporidiosis involving the trachea. Complete excision of the mass was performed after initial stabilisation of the patient.Conclusion:Tracheo-bronchial rhinosporidiosis, a rare complication of nasopharyngeal infection, should be considered in a known case presenting with severe respiratory distress.

scholarly journals Rare Complication of Nasogastric Tube Knotting around Endotracheal Tube in an Anesthetized Patient Undergoing Surgery

2021 ◽  
Author(s):  
Suvidha Sood ◽  
Yeesha Aggarwal ◽  
Anoj Kumar
Keyword(s):  
Respiratory Distress ◽  
Endotracheal Tube ◽  
Nasogastric Tube ◽  
Rare Complication ◽  
Successful Management ◽  
Accidental Extubation ◽  
Ryle’S Tube ◽  
Fatal Complications

AbstractWe report a case of successful management of a rare incidence and avoidance of complication of Ryle’s tube knotting around endotracheal tube. A vigilant anesthesia team prevented fatal complications of intraoperative accidental extubation and ventilation impairment which could have resulted into respiratory distress.

scholarly journals Clinical profile, complications, morbidity and outcome of empyema thoracis in children in a tertiary care centre

2018 ◽  
Vol 5 (3) ◽  
pp. 967 ◽  
Author(s):  
Neha Agarwal ◽  
Sunil Taneja ◽  
Rachit Saxena ◽  
Ashish Verma
Keyword(s):  
Pleural Fluid ◽  
Conservative Management ◽  
Chest Tube ◽  
Bacterial Pneumonia ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Chest Tube Drainage ◽  
Care Hospital ◽  
Empyema Thoracis ◽  
Tube Drainage

Background: Empyema thoracis, an accumulation of pus in pleural space, occurs in 5-10% of children with bacterial pneumonia. Often cases are referred to the tertiary care hospital late resulting in significant complications, morbidity and mortality. Our aim was to study the clinical profile, associated complications, morbidity and treatment outcome of empyema in children.Methods: A prospective observational study was conducted on 65 children aged 0-12 yrs diagnosed with empyema thoracis admitted in the hospital. After history taking and clinical examination, relevant investigations like chest X-ray, USG chest and pleural fluid analysis including culture and sensitivity were done. All patients were treated with chest tube drainage, antibiotics and intrapleural fibrinolytic therapy.Results: Maximum patients (61.5%) were seen in age group 1-5 yrs, 18.4% below 1 year, 2 were neonates. Pleural fluid culture was positive in 64.6 % of patients. Staphylococcus aureus (58.4%) was the most frequent organism isolated from pleural fluid. Pyopneumothorax (36.9%), broncho-pleural fistula (27.6%) and pneumothorax (18.4%) were common complications. Broncho-pleural fistula was present at admission in 14 patients, developed later in 4 patients and healed with conservative management in 12 patients. Majority of the patients (n=51, 78.4%) had complete resolution of empyema thoracis with re-expansion of lung on conservative management alone. The success rate of medical management in patients who received intrapleural fibrinolytic (streptokinase) within 14 days of symptom onset was 93.3% while it was 71.4% in patients who received intrapleural fibrinolytic after 14 days. 5 (7.6%) patients died, 5 required surgical intervention(decortication/VATS), 4 patients with broncho-pleural fistula not improving on conservative management were referred to higher centre and were lost to follow-up.Conclusions: Empyema in children causes significant morbidity which can be reduced by prompt and adequate treatment of bacterial pneumonia. Antibiotics, chest tube drainage along with intrapleural fibrinolytic therapy is a safe and effective method to facilitate drainage and resolution of empyema even in cases with delayed presentation in resource poor settings and can reduce the need for surgery.

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