parapneumonic effusion


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parapneumonic effusion

pleural effusion associated with pneumonia
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2 is found this may be indicative of a complicated parapneumonic effusion or empyema and should prompt the insertion of an intercostal chest drain to clear the fluid and obtain source control.
Causes of an exudate Frequent * Tuberculosis * Malignancy * Parapneumonic effusions Infrequent * Rheumatoid and other autoimmune disorders * Post-myocardial infarct syndrome * Post-coronary artery bypass * Asbestos-related effusion * Pancreatitis * Drugs (Table 3)
In fact, pooled data in the American College of Chest Physicians consensus statement on the treatment of parapneumonic effusions suggest that mortality is actually higher with VATS (4.
Conclusion: Our study showed that use of intrapleural streptokinase in complicated (culture positive and/or loculated) parapneumonic effusion and empyema were an effective treatment when cases were selected precisely, and it did not increase hospital stay and period of drainage compared to the second group.
17] found that parapneumonic effusions were the most frequent reason for a high FADA, followed by carcinomas (with pleural metastatic lesions) and lymphomas.
Therapy of parapneumonic effusions in children: Video-Assisted Thoracoscopic Surgery versus conventional thoracostomy drainage.
Other reported complications are bronchopleural fistula, pulmonary abscesses, parapneumonic effusions, empyema, pyopneumothorax(15,16), bronchial reactivity(17), eosinophillic alveolitis(18), ARDS(15,19) and severe multi-organ failure(20).
In an earlier but similar study from another children's hospital in the country, Buckingham et al (2) reported that the proportion of cases of complicated parapneumonic effusions caused by S aureus increased from 6% in the period 1996 to 2000 (all of which were methicillin susceptible) to 30% in 2001 (all methicillin resistant).
Thirty-seven pleural fluids were clinically classified as exudates (n = 26; 10 patients with malignancies, 13 with pneumonic and parapneumonic effusions, 3 with Dressler syndrome) or as transudates [n = 11; 10 patients with congestive heart failure and 1 with (pseudo)Meigs syndrome].
Pleural fluid PCR method for detection of Staphylococcus aureus, Streptococcus pneumoniae and Haemophilus influenzae in pediatric parapneumonic effusions.