parapneumonic effusion (pleural empyema)

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Introduction

Empyema is the presence of pus in an anatomic cavity or 'potential space' i.e. pleural space, or for clinical purposes, bacteria in the pleural space.

Classification

Etiology

Epidemiology

Laboratory

* thoracostomy indicated[3]

Management

More general terms

Additional terms

References

  1. Manual of Medical Therapeutics, 28th edition, Ewald & McKenzie (eds) Little, Brown & Co, 1995, pg 259
  2. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 773
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 16, 17, 18. American College of Physicians, Philadelphia 1998, 2006, 2012, 2015, 2018.
    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  4. Colice GL, Curtis A, Deslauriers J et al Medical and surgical treatment of parapneumonic effusions: an evidence-based guideline. Chest. 2000 Oct;118(4):1158-71. PMID: https://www.ncbi.nlm.nih.gov/pubmed/11035692
  5. 5.0 5.1 Cabot RC et al Case 25-2015 - An 8-Year-Old Girl with a Chest-Wall Mass and a Pleural Effusion. N Engl J Med 2015; 373:657-667. August 13, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/21158661 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMcpc1400836
  6. 6.0 6.1 Rahman NM, Maskell NA, Davies CW et al The relationship between chest tube size and clinical outcome in pleural infection. Chest. 2010 Mar;137(3):536-43. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19820073
  7. 7.0 7.1 7.2 7.3 Shen KR, Bribriesco A, Crabtree T et al The American Association for Thoracic Surgery consensus guidelines for the management of empyema. J Thorac Cardiovasc Surg. 2017 Feb 4 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28274565 <Internet> http://www.jtcvsonline.org/article/S0022-5223(17)30152-6/abstract
  8. McCauley L, Dean N. Pneumonia and empyema: causal, casual or unknown. J Thorac Dis. 2015 Jun;7(6):992-8. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26150912 Free PMC Article
  9. 9.0 9.1 Rahman NM, Maskell NA, West A et al Intrapleural use of tissue plasminogen activator and DNase in pleural infection. N Engl J Med. 2011 Aug 11;365(6):518-26. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21830966 Free Article