• In a recent case series, the most common reasons to need an Eloesser flap were parapneumonic effusions and postresection empyemas, with only 9% done for tuberculosis. (wikipedia.org)
  • Persistent effusions and empyemas are the most common serious complications of bacterial pneumonia. (pediatriconcall.com)
  • Au total, 200 cas d'épanchement pleural ont été identifiés chez 152 hommes et 48 femmes, âgés de 45,1 ans en moyenne (E.T. 18,5). (who.int)
  • Empyema of the pleural cavity was recognized approximately 2400 years ago when Hippocrates made the distinction between empyema and hydrothorax. (sts.org)
  • alackofinformationabouttheetiology obtainedfromeachparticipantbefore Tuberculous pleurisy ofpleuraleffusionsinmostArabcoun- anyintervieworclinicalexamination Pleuraleffusionswerediagnosedas triesincludingQatar.Onlyafewstudies wasconducted. (who.int)
  • He clearly understood the natural history of undrained empyemas when he wrote in a treatise on pleurisy and peripneumonia: "Patients with pleurisy who, from the beginning, have sputum of different colors or consistencies die on the third or the fifth day, or they become suppurative by the eleventh day. (sts.org)
  • It was originally intended to aid with drainage of tuberculous empyemas, since at the time there were no effective medications to treat tuberculosis. (wikipedia.org)
  • Prior to the development of the Eloesser flap in the 1930s, the main surgical treatments for chronic tuberculous empyema were an open thoracotomy or chest tube drainage. (wikipedia.org)
  • Hippocrates is also credited with the first drainage operation for empyema by using the cautery or doing the trephination of a rib. (sts.org)
  • Death frequently occurred within 30 minutes of the procedure and was attributed to the open pneumothorax and mediastinal instability rather than to the empyema itself. (sts.org)
  • In children who have recurrent or chronic symptoms, further testing including skin testing to identify fungal pathogens, sweat chloride estimation to identify Cystic fibrosis, titers against rare organisms, and bronchoscopy may be required. (pediatriconcall.com)
  • This system was used mostly for children with empyema. (sts.org)
  • In a recent case series, the most common reasons to need an Eloesser flap were parapneumonic effusions and postresection empyemas, with only 9% done for tuberculosis. (wikipedia.org)
  • [ 6 ] In industrialized countries, Streptococcus pneumoniae remains the most common pathogen that causes parapneumonic effusions and empyema in children. (medscape.com)
  • In addition, surgery in the abdomen can lead to pleural effusions with subsequent seeding of bacteria and an empyema. (medscape.com)
  • The etiologic mechanisms involved in the formation of most pleural effusions include pleural space infection (empyema), abnormal capillary permeability (exudates), increased hydrostatic or decreased oncotic pressure in the setting of normal capillaries (transudates), abnormal lymphatic clearance (exudates), and blood in the pleural space (hemothorax). (medscape.com)
  • Thoracic and extrathoracic (ie, abdominal) procedures and complications can lead to a pleural empyema. (medscape.com)
  • Parapneumonic effusion and empyema are serious complications of bacterial pneumonia. (medscape.com)
  • The Eloesser flap is still utilized for patients with chronic empyemas who have not improved despite being treated with antibiotics and first line surgical procedures to remove pus and re-expand the lung such as decortication or video-assisted thoracoscopic surgery. (wikipedia.org)
  • 6] In the case of failure of those less invasive modalities, or in the presence of multiloculated chronic collections and entrapped lung, surgical decortication is indicated. (medscape.com)