Pleural empyema

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Obesity, Sleep & Internal medicine
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Pleural empyema
Synonyms	Pyothorax, purulent pleuritis
Pronounce	N/A
Specialty	Pulmonology, Infectious disease
Symptoms	Fever, chest pain, cough, dyspnea
Complications	Sepsis, lung abscess, fibrothorax
Onset	Acute or chronic
Duration	Variable
Types	N/A
Causes	Bacterial infection, pneumonia, lung abscess
Risks	Alcoholism, diabetes mellitus, immunosuppression
Diagnosis	Chest X-ray, CT scan, thoracentesis
Differential diagnosis	Pleural effusion, pneumothorax, lung cancer
Prevention	N/A
Treatment	Antibiotics, chest tube drainage, surgery
Medication	Antibiotics such as penicillin, cephalosporins
Prognosis	Variable, depends on underlying cause and treatment
Frequency	Common in patients with pneumonia
Deaths	N/A

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Ultrasound of the Week 4

Pleural Empyema is a medical condition characterized by the accumulation of pus in the pleural cavity, the space between the lung and the inner surface of the chest wall. This condition is usually a complication of pneumonia but can also result from other infections or chest injuries.

Causes

The most common cause of pleural empyema is bacterial infection, often secondary to pneumonia. Other causes include thoracic surgery, chest trauma, and lung abscess. The bacteria involved are usually Streptococcus pneumoniae, Staphylococcus aureus, and other Gram-negative bacteria.

Symptoms

Symptoms of pleural empyema include chest pain, cough, fever, shortness of breath, and weight loss. In severe cases, patients may experience tachycardia, cyanosis, and decreased breath sounds on the affected side.

Diagnosis

Diagnosis of pleural empyema involves a combination of physical examination, imaging studies such as chest X-ray and CT scan, and laboratory tests. Thoracentesis, the removal of fluid from the pleural space, is often performed for diagnostic and therapeutic purposes.

Treatment

Treatment of pleural empyema involves both medical and surgical interventions. Antibiotics are used to treat the underlying infection, while thoracentesis or chest tube insertion may be performed to drain the empyema. In severe cases, thoracic surgery may be required.

Prognosis

The prognosis of pleural empyema depends on the underlying cause, the patient's overall health, and the timeliness of treatment. With appropriate treatment, most patients recover fully.

See also

• Pleural effusion
• Pneumonia
• Thoracentesis
• Thoracic surgery

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