Pleurostomia para tratamento de empiema pleural tuberculoso: relato de caso / Pleurostomy for treatment of tuberculous pleural empyema: case report

Inflammatory pseudotumor of the liver (IPTL) is a rare condition, but an important differential diagnosis of hepatic space-occupying lesions. It may regress spontaneously and mimic other liver tumors. Complications are usually intrahepatic. Herein, we present a case of IPTL which developed pleural empyema and lung necrosis as an uncommon complication.

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Endobronchial lipoma a rare cause of pleural empyema: a case report

Cases Journal ◽

10.4076/1757-1626-2-6377 ◽

2009 ◽

Vol 2 (1) ◽

pp. 6377 ◽

Cited By ~ 2

Author(s):

Yassine Ouadnouni ◽

Mohammed Bouchikh ◽

Salma Bekarsabein ◽

Abdellah Achir ◽

Mohammed Smahi ◽

...

Keyword(s):

Case Report ◽

Pleural Empyema

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Tuberculous spondylitis of vertebra with fracture, paraparesis and pleural empyema complications: Case report

Medicinski pregled ◽

10.2298/mpns1310401d ◽

2013 ◽

Vol 66 (9-10) ◽

pp. 401-405

Author(s):

Radica Dragojlovic-Ruzicic ◽

Vladimir Jakovljevic ◽

Vladimir Zivkovic ◽

Sinisa Vujic ◽

Pavle Varagic ◽

...

Keyword(s):

Case Report ◽

Clinical Practice ◽

Early Diagnosis ◽

Inflammatory Process ◽

Lower Extremities ◽

Pleural Empyema ◽

Tuberculous Spondylitis ◽

Course Of Disease ◽

Effective Operation ◽

Spine Tuberculosis

Introduction. Spine tuberculosis is caused by Micobacterium tuberculosis. It is localized in the vertebral body or intervertebral disc. Its diagnosis is often delayed because of nonspecific symptoms and neglected presence of tuberculosis, which leads to serious complications. Case Report. This paper presents a case of tuberculous spondylitis, which was complicated with the fracture of vertebra, paraparesis of lower extremities and pleural empyema. The treatment with antituberculous drugs started after the fracture of 10th and 11th thoracic vertebras. The therapy brought some improvement but paraparesis of lower extremities remained. In the further course of disease, inflammatory process affected the pleura. Antibiotic and antitubercular therapy with puncture of pleura were not very effective. Operation was performed on December 20th 2011: Thoracotomia lat. dex. Decorticatio pulmonum lat.dex. Seven months after surgery, the patient was without symptoms. Conclusion. Tuberculous spondylitis occurs relatively frequently in clinical practice. Early diagnosis and adequate therapy of this disease can prevent the occurrence of its serious complications.

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Convulsive Seizures as Presenting Symptom of Metronidazole-Induced Encephalopathy: A Case Report

Case Reports in Neurology ◽

10.1159/000485915 ◽

2018 ◽

Vol 10 (1) ◽

pp. 34-37 ◽

Cited By ~ 4

Author(s):

Caspar Godthaab Sørensen ◽

William Kristian Karlsson ◽

Faisal Mohammad Amin ◽

Mette Lindelof

Keyword(s):

Case Report ◽

Rare Condition ◽

Pleural Empyema ◽

Clinical Suspicion ◽

Cerebellar Dysfunction ◽

Blood Samples ◽

Hyperintense Signal ◽

Signal Changes ◽

Convulsive Seizures

Introduction: Encephalopathy and convulsive seizures are rare manifestations of metronidazole toxicity. The incidence is unknown, but the condition has most frequently been reported in patients in their fifth to sixth decades. Usually, this condition is regarded as reversible, but permanent deficits and even death have been reported. Case Report: A 66-year-old female patient undergoing metronidazole treatment for pleural empyema was admitted to our institution after her second episode of seizure. Over the course of 1 week after admittance, the patient developed several convulsive seizures along with progressive cerebellar dysfunction and cognitive impairment. MRI revealed bilateral, symmetrical hyperintense signal changes in the pons and dentate nuclei. EEG, ECG, lumbar puncture, and blood samples were normal. The patient improved already 2–3 days after discontinuation of metronidazole and was discharged fully recovered after 17 days. Follow-up clinical assessment and MRI were unremarkable. Conclusion: Metronidazole-induced encephalopathy is a rare condition, and due to a general lack of awareness the diagnosis is often delayed. This condition should be considered in metronidazole-treated patients presenting with unprovoked seizures, myoclonus, cerebellar signs, and encephalopathy. Characteristic MRI lesions may support the clinical suspicion.

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Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

Case Reports in Surgery ◽

10.1155/2019/2896810 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Morad Tajjiou ◽

Wolfgang Wild ◽

Nasir Sayed ◽

Alexander Flauaus ◽

Markus Divo ◽

...

Keyword(s):

Heart Failure ◽

Case Report ◽

Pleural Effusion ◽

Pericardial Effusion ◽

Cardiac Function ◽

Imaging Techniques ◽

Pleural Empyema ◽

Lower Leg ◽

Diagnostic Significance ◽

Pericardial Mesothelioma

This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dyspnea, lower leg oedema), pericardial effusion, and pericarditis. Echocardiography in the identification of pericardial mesotheliomas is low. In this case, the cardiac function could be imaged well, but the tumor could not be imaged. The CT showed a pericardial effusion and a pleural effusion. Here, the tumor could not be diagnosed either. Only the operation led to diagnosis.

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Successful prolonged cefiderocol treatment of a chronic left pleural empyema caused by Pseudomonas aeruginosa in a patient affected by COVID-19: a case report

Journal of Global Antimicrobial Resistance ◽

10.1016/j.jgar.2021.09.005 ◽

2021 ◽

Vol 27 ◽

pp. 157-159

Author(s):

Luca Borghesi ◽

Valentina Viaggi ◽

Marco Franzetti ◽

Matteo Montoli ◽

Carola Mauri ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Case Report ◽

Pleural Empyema

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Management of esophagopulmonary fistula after gunshot – case report and literature review

Polish Annals of Medicine ◽

10.29089/2021.21.00207 ◽

2021 ◽

Author(s):

Kajetan Kiełbowski ◽

Estera Bakinowska ◽

Michał J. Kubisa ◽

Janusz Wójcik ◽

Bartosz Kubisa

Keyword(s):

Case Report ◽

Respiratory Tract ◽

World Literature ◽

Pleural Empyema ◽

Lung Parenchyma ◽

Radiological Images ◽

Distal Location ◽

The Right

Introduction: An esophagorespiratory fistula is a pathological communication between the esophagus and respiratory tract. The most common type is a communication with the trachea, while the least common is with lung parenchyma. These fistulas are classified as congenital or acquired while etiology is benign or malignant. Aim: We present a case report of a patient who developed esophagopulmonary fistula several years after gunshot in the right side of the chest. Additionally, we discuss the treatment methods and compare the outcomes with other case studies and analyses from world literature. Case study: A 48-year-old male patient was admitted to the Department of Thoracic Surgery and Transplantation due to bleeding from the respiratory tract. Radiological images revealed a fistula between the esophagus and right lung parenchyma. Furthermore, bronchiectasis in the right lung was found. Tissues of the fistula, right middle and lower lobes were resected. The patient required renewed hospitalization due to pleural empyema. Furthermore, recurrence of the fistula was observed. Results and discussion: Treatment of esophagorespiratory fistula depends on the etiology and location of the pathological communication. Surgery provides the best possible outcomes in patients with a benign fistula. Proximal location requires cervicotomy, while distal location a thoracotomy. In addition, a distal fistula may damage lung parenchyma. Conclusions: A long-term distal fistula may require pulmonary resection, but early diagnosis would help to avoid more invasive procedures. As symptoms are non-specific and benign etiology is not frequent, thorough examination in search of malignancy is required.

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Management of pleural empyema in a 12-year-old obese patient with COVID-19: a pediatric case report

BMC Pediatrics ◽

10.1186/s12887-021-03007-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Reza Abbasi ◽

Farnaz Sadat Javanmardi ◽

Ahmad Mokhtari ◽

Parisa Hosseinpour ◽

Reza Shahriarirad ◽

...

Keyword(s):

Case Report ◽

Rare Complication ◽

Pleural Empyema ◽

Pleural Drainage ◽

Pediatric Case ◽

Case Presentation ◽

Delay In Diagnosis ◽

History Of ◽

Atypical Presentations ◽

New Mutations

Abstract Background With the ongoing coronavirus disease (COVID-19) pandemic, along with the development of new mutations of the virus and an increase in the number of cases among pediatrics, physicians should be aware and alerted on the atypical presentations of the disease, especially in less expected individuals. Case presentation Here we present a 12-year-old obese boy (BMI = 37.5 kg/m2) who presented with empyema, which was following SARS-CoV-2 infection. The patient had no history of fever. Due to the onset of dyspnea, a chest tube was inserted for him which was later altered to a pleural drainage needle catheter. Conclusion Our case is the first report of COVID-19 presenting as empyema among pediatrics. Pleural empyema should be considered as a rare complication of COVID-19. Since there is still no guideline in the management of empyema in the context of COVID-19, delay in diagnosis and intervention may cause morbidity and mortality in children.

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