Noninvasive mechanical ventilation and pulmonary empyema
Keywords:
RESPIRATION, ARTIFICIAL, NONINVASIVE VENTILATION, EMPYEMA, PLEURAL, RESPIRATORY INSUFFICIENCY, CASE REPORTSAbstract
Thoracic empyema is defined by the presence of pus in the pleural space. It is a critical condition which has a worse prognosis in nosocomial infections. The most frequent cause is a history of pneumonia. Associated risk factors include advanced age, type 2 diabetes mellitus, malnutrition, poor oral hygiene, cancer, among others. We present the case of a 45-year-old white female patient, with an apparently healthy past medical history. She presented a clinical productive cough accompanied by mucopurulent sputum, with pleuritic pain on the side, fever of 39 - 40 ºC, night sweats, asthenia and anorexia. When arriving at the emergency room she presented clinical evidence of respiratory failure and elements of sepsis. The clinical findings, thoracentesis, cultures and Gram staining, as well as the imaging studies confirmed the diagnosis of pneumococcal pulmonary empyema. Noninvasive mechanical ventilation and antibiotic therapy were applied. The patient progressed favorably.
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Cortes-Telles A, Morales-Villanueva CE, Figueroa-Hurtado E. Hemotórax: etiología, diagnóstico, tratamiento y complicaciones. Rev Biomed. [revista en internet]. 2016 [citado 7 abril 2019]; 27(3): 119-126. Disponible en: https://www.researchgate.net/publication/307921943.
Vega-Sánchez E, Che-Morales JL, Vargas-Mendoza GK, Manjarrez-Martin DA, Cortes-Telles A. Procalcitonina sérica como biomarcador diagnóstico de derrame paraneumónico o empiema. Neumol Cir Torax. [revista en internet]. 2017 [citado 7 abril 2019]; 76(1): 7-13. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=71347.
Ferreiro L, San José ME, Valdés L. Manejo del derrame pleural paraneumónico en adultos. Archivos de Bronconeumología [revista en internet]. 2015 [citado 7 abril 2019]; 51(12): 637-46. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300289615000769.
Richards MK, Mcateer JP, Edwards TC, Hoffman LR, Kronman MP, Shaw DW, et al. Establishing equipoise: National survey of the treatment of pediatric para-pneumonic effusion and empyema. Surg Infect. [revista en internet]. 2017 [citado 7 abril 2019]; 18(2): 137-42. Disponible en: https://www.researchgate.net/publication/311164200.
Lamas Pinheiro R, Henriques Coelho T, Fer-nandes S, Correia F, Ferraz C, Guedes Vaz L. Thoracoscopy in the management of pediatric empyemas. Rev Port Pneumol. [revista en internet]. 2016 [citado 7 abril 2019]; 22(3): 157-62. Disponible en: https://www.sciencedirect.com/science/article/pii/S2173511515002080.
Bolton CE, Shale DJ. Empyema and bron-chopleural fistula. En: Schlossberg D, editor. Clinical infectous disease. 2a ed. Cambridge: Cambridge University Press; 2015. p. 457-63.
Light RW, Lee YCG, editors. Textbook of pleural diseases. Londres: Arnold; 2003.
Pan H, He J, Shen J, Jiang L, Liang W, He J. A meta-analysis of video-assisted thoracoscopic decortication versus open tho¬racotomy decortication for patients with empyema. J Thorac Dis. [revista en internet]. 2017 [citado 7 abril 2019]; 9(7): 2006-2014. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5542928/.
Charalampidis C, Youroukou A, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, et al. Physiology of the pleural space. J Thorac Dis. [revista en internet]. 2015 [citado 7 abril 2019]; 7(Suppl 1): S33-7. Disponible en: https://jtd.amegroups.com/article/viewFile/3848/4258.
Sziklavari Z, Ried M, Zeman F, Grosser C, Szoke T, Neu R, et al. Short-term and long-term outcomes of intrathoracic vacuum therapy of empyema in debilitated patients. J Cardiothorac Surg. [revista en internet]. 2016 [citado 7 abril 2019]; 11(1): 148. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27769303.
Sziklavari Z, Ried M, Neu R, Schemm R, Grosser C, Szoke T, et al. Mini-open vacuum-assisted closure therapy with instil¬lation for debilitated and septic patients with pleural empyema. Eur J Cardiothorac Surg. [revista en internet]. 2015 [citado 7 abril 2019]; 48(2): e9-16. Disponible en: https://academic.oup.com/ejcts/article/48/2/e9/447397.
Togo S, Ouattara MA, Sangaré I, Saye J, Tou-ré CS, Maiga IB, et al. Management for pediatric pleural empiema in resource-poor country: is chest tuve drainage with antiseptic lavage-irrigation better than tube thoracostomy alone? Surg Science. [revista en internet]. 2015 [citado 7 abril 2019]; 6(12): 541-8. Disponible en: https://www.researchgate.net/publication/8370075.
Almaramhy H, Allama A. Indicators for surgical intervention in thoracic empiema in children. Saudi Med J. [revista en internet]. 2015 [citado 7 abril 2019]; 36(9): 1061-6. Disponible en: https://europepmc.org/abstract/MED/26318462.
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