Document Detail

Successful thoracoscopic treatment of severe bilateral empyema in an infant.
MedLine Citation:
PMID:  17447512     Owner:  NLM     Status:  MEDLINE    
We report a case of rapid progression of bilateral pyothorax exacerbated by viral influenza in an infant. The patient, an 11-month-old girl, was diagnosed with viral influenza, and oseltamivir phosphate was administered. However, after only 4 days the influenza was followed by rapid progression of methicillin-susceptible Staphylococcus aureus (MSSA) pneumonia and pyothorax, resulting in disseminated intravascular coagulation. Because thoracentesis and antibiotics could not control the pyothorax, a serious condition, we performed bilateral video-assisted thoracoscopic decortication on the eighth hospital day. She recovered with excellent lung expansion and was discharged on the 37th hospital day.
Kei Tanaka; Teruaki Mizobuchi; Taiki Fujiwara; Tomoyasu Saito; Ryugo Hiramoto; Naomichi Iwai
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  55     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-23     Completed Date:  2007-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  130-3     Citation Subset:  IM    
Department of Chest Surgery, Matsudo City Hospital, 4005 Kamihongo, Matsudo, Chiba, Japan.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Disseminated Intravascular Coagulation / microbiology
Empyema, Pleural / microbiology*,  surgery*,  virology
Influenza A virus
Influenza, Human / complications,  drug therapy,  virology
Pneumonia, Staphylococcal / diagnosis*,  drug therapy
Thoracic Surgery, Video-Assisted*
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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