
	Where results make sense

Topic: Empyema

Related Topics

LDH

Sharday

Mugal

Maxi Mounds

Wendy Whoppers

Mary Carey

Doctor of Science

In the News (Fri 25 Dec 09)

Northern Trust

Marvin Harrison

Peter Chernin

Gary Locke

Match Play

Penelope Cruz

Mickey Rourke

AR Rahman

Danny Boyle

Hugh Jackman

	Home \| aHealthyme.com
		Empyema is most often used to refer to collections of pus in the space around the lungs (pleural cavity), but sometimes refers to similar collections in the gall bladder or the pelvic cavity.
		Empyema in the pleural cavity is sometimes called empyema thoracis, or empyema of the chest, to distinguish it from empyema elsewhere in the body.
		Empyema of the gallbladder is a serious condition that is treated with intravenous antibiotics and surgical removal of the gallbladder.
	www.ahealthyme.com /article/gale/100084506 (1267 words)

	Empyema definition - Medical Dictionary definitions of popular medical terms
		Empyema: The presence of pus in the pleural space which is between the outer surface of the lung and the chest wall.
		Empyema is often a complication of pneumonia caused by bacteria such as Streptococcus pneumonia, Staphylococcus aureus, or Haemophilus influenza (H. flu) type b.
		The Greek philosopher, Aristotle, recognized empyema and described the drainage of pus with incision and a metal tube as early as 300 BC.
	www.medterms.com /script/main/art.asp?articlekey=3230 (176 words)

	Empyema necessitatis American Family Physician - Find Articles
		Empyema necessitatis is the accumulation of pus in a small space in the pleural cavity, with subsequent rupture of the purulent material into the surrounding soft tissue.
		Empyema in the pleural cavity usually develops from primary disease elsewhere and is most commonly due to a pneumonic process such as lobar pneumonia, lung abscess or pneumonitis.
		The pathogenesis of empyema necessitatis is determined by several factors, including increased positive pressure in the affected cavity,[1] inflammation, necrosis and erosion of the cavity wall.
	www.findarticles.com /p/articles/mi_m3225/is_n4_v40/ai_8136399 (800 words)

	eMedicine - Empyema : Article by Marc Tobler, MD (Site not responding. Last check: 2007-10-09)
		Indwelling catheter that is a nidus for infection
		Empyema has a high associated mortality rate related to respiratory failure and systemic sepsis, which occurs when the immune response and antibiotics are inadequate to control the infection.
		Empyema necessitatis occurs when the pleural infection extends beyond the thoracic cavity into the chest wall (see Image 5).
	www.emedicine.com /radio/topic245.htm (3510 words)

	empyema - HighBeam Encyclopedia
		empyema, persistent purulent discharge into a cavity such as the pleural space or the gallbladder.
		Empyema results as a complication of bacterial infections such as pneumonia and lung abscess.
		Tuberculous empyema necessitatis in a man infected with the human immunodeficiency virus.
	www.encyclopedia.com /doc/1E1-empyema.html (268 words)

	IPEG: Guidelines for Surgical Treatment of Empyema and Related Pleural Diseases
		The management of postinfectious empyema historically involved aspiration for diagnosis, repeated aspirations if warranted, and tube or open drainage procedures once the empyema cavity was stable.
		Current treatment of empyema in children is highly variable due to in part both provider experiences and a wide spectrum of clinical presentations.
		The diagnosis of empyema thoracis is principally made in the clinical setting of febrile illness in children with pulmonary symptoms (e.g.
	www.ipeg.org /guidelines/empyema.html (1942 words)

	Empyema Information on Healthline
		Empyema is a condition in which pus and fluid from infected tissue collects in a body cavity.
		In this procedure, the patient is given a local anesthetic, a needle is inserted into the pleural cavity through the back between the ribs on the infected side, and a sample of fluid is withdrawn.
		If the patient has empyema, there will be a very high level of one particular kind of immune cell (white blood cells), a high level of protein, and a very low level of blood sugar.
	www.healthline.com /galecontent/empyema (800 words)

	UIC College of Pharmacy Drug Information Center
		Empyema, the presence of infected opaque fluid in the pleural space, is usually the result of complicated bacterial pneumonia.
		In another study, 20 patients within the fibrinopurulent phase of empyema were randomly assigned to either be treated with chest tube pleural drainage plus streptokinase (n=9) or receive video-assisted thoracoscopic surgery (n=11).
		The efficacy of urokinase in the treatment of childhood empyema was evaluated in 60 children with parapneumonic empyema.
	www.uic.edu /pharmacy/services/di/empyema.htm (1742 words)

	PRESENTATION AND MANAGEMENT OF EMPYEMA THORACIS AT A TERTIARY CARE HOSPITAL
		Empyemas that have reached the organized phase are characterized by the presence of thick pleural peel causing varying degree of pulmonary parenchymal entrapment.
		Patients with empyema thoracis due to generalized sepsis, extension of subphrenic abscesses and secondary to perforated oesophagus during endoscopy were excluded from the study.
		Management of thoracic empyema has to be individually tailored taking in consideration the age of the patient, duration and extent of empyema, presence and absence of systemic symptoms and signs and general condition of the patient.
	www.ayubmed.edu.pk /JAMC/PAST/16-1/AsifNadeem.htm (2331 words)

	Empyema
		Pleural space infections – empyemas need to be distinguished from these by the presence of an infectious agent, (although culture may be negative in up to 30% of PSIs), their ability to cause morbidity and their need for specific treatment.
		Maxwell et al (51) found that post-traumatic empyemas were related to the degree of underlying (particularly penetrating) lung injury and duration of tube placement.
		The main cause of treatment failure, morbidity and mortality in empyema is the development of loculated, undrained pus resulting in pleural scarring, fibrosis and chronicity of infection requiring surgical intervention.
	www.utoronto.ca /ois/SIA/2006/Empyema.htm (5067 words)

	Emergency Medicine (Site not responding. Last check: 2007-10-09)
		Up to 20% of empyemas are associated with instrumentation of the pleural space, such as in thoracentesis, tube thoracostomy, or violation of the thoracic cavity during placement of a subclavian central line.
		Because distinguishing between empyema and other parenchymal processes clinically and radiographically is often difficult, further imaging studies such as computed tomography or ultrasound of the thoracic cavity may be necessary.
		Empyema necessitans is a very rare condition in which an empyema goes undetected over a long period of time and progresses to the chronic stage.
	www.emedmag.com /html/pre/fea/features/121504.asp (2189 words)

	Empyema caused by trichomonas - selected reports CHEST - Find Articles (Site not responding. Last check: 2007-10-09)
		Empyema is one of the potential complications of lower respiratory tract infections.
		A 56-year-old white, male smoker with a history of type II diabetes mellitus presented to the hospital for elective resection of a subependymoma of the fourth ventricle of the brain.
		The empyema fluid cleared with antibiotics and drainage, and the patient was eventually discharged on the 25th postoperative day.
	www.findarticles.com /p/articles/mi_m0984/is_1_123/ai_97115958 (820 words)

	Thoracic Empyema: Is Its Microbiology Changing? (Site not responding. Last check: 2007-10-09)
		In performing the study of fungal empyema, Shiann-Chin Ko, MD, and colleagues retrospectively analyzed the records of patients treated for that condition at the National Taiwan University Hospital between January 1990 and December 1997.
		The fungal thoracic empyemas were nosocomial in 56 (84%) of the patients; they were ICU-acquired in 43 (64%).
		In patients with acute thoracic empyemas, for example, it is common to recommend surgery after only two or three days of failed chest tube drainage, as opposed to the 10-day average in Dr. Chen's study.
	www.pulmonaryreviews.com /oct00/pr_oct00_empyema.html (848 words)

	Article : Pyogenic Empyema Necessitatis with Bronchopleural Fistula ; Author : HARIQBAL SINGH ; Co-Author(s) : VIKAS ... (Site not responding. Last check: 2007-10-09)
		Empyema necessitatis is a collection of inflammatory tissue that usually extends directly from the pleural cavity into the thoracic wall forming a mass in the extrapleural soft tissues [1].
		It revealed a loculated empyema in the left upper zone with a large component of air communicating medially with the apico posterior segmental bronchi and laterally with the anterolateral chest wall deep to the muscle planes (Fig.
		Empyema necessitatis is an uncommon complication of pleural empyema.
	www.ijri.org /articles/archives/19990903/letter02.htm (490 words)

	Empyema - Health Encyclopedia
		Empyema is a collection of pus in the pleural space (the cavity between the lung and the membrane that surrounds it).
		Empyema is caused by an infection that spreads from the lung and leads to an accumulation of pus in the pleural space.
		The infected fluid can build up to a quantity of a pint or more, which puts pressure on the lungs, causing shortness of breath and pain.
	www.wnbc.com /encyclopedia/6859440/detail.html (483 words)

	Early Chest Ultrasounds May Help Predict Those Children with Pleural Empyema Who Would Benefit from Surgical ...
		Prospective, RCT's on children with empyema are severely lacking in the published literature.
		Empyema in children with pneumonia is rare -- present in only 1-2% of cases.6
		Incidence of pleural empyema in children is rising in U.S. and worldwide.
	www.med.umich.edu /pediatrics/ebm/cats/empyema.htm (695 words)

	eMedicine - Empyema, Pleuropulmonary : Article by Sat Sharma, MD, FRCPC, FACP, FCCP, DABSM
		Thoracic empyema is characterized by either aspiration of pus on thoracentesis or the presence of bacterial organisms on Gram stain.
		For an empyema associated with bronchopleural fistula, adequate pleural drainage is crucial.
		An empyema distal to an obstructed bronchus should not be drained with a chest tube because the underlying lung does not expand, and the patient remains with a chest tube or open chest wound for the remainder of life.
	www.emedicine.com /med/topic659.htm (5883 words)

	Empyema
		It is difficult to calculate the incidence of empyema, but it most commonly occurs as a complication in pneumonia due to Staphylococcus aureus.
		Other conditions such as bronchiectasis, airway-obstructing cancer, thoracic surgery, penetrating wounds, and secondary spread from a distant focus (particularly a subphrenic abscess) are all possible mechanisms of disease development.
		Possible complications include a bronchopleural fistula (which is a permanent communication between a bronchus and the pleural space) - allowing for air to enter the pleural space as well as the pus - leading to a pyopneumothorax (air or pus in the plural cavity).
	www.virtualinfectioncentre.com /diseases.asp?did=36 (413 words)

	Early Video-assisted Thoracic Surgery in the Management of Empyema -- Grewal et al. 103 (5): e63 -- Pediatrics
		Childhood empyema usually is secondary to direct spread of infection to a parapneumonic effusion.
		Brooks I Microbiology of empyema in children and adolescents.
		Handman HP, Reuman PD The use of urokinase for loculated thoracic empyema in children: a case report and review of the literature.
	pediatrics.aappublications.org /cgi/content/full/103/5/e63 (2759 words)

	Thoracic empyema -- Jaffé and Cohen 88 (10): 839 -- Archives of Disease in Childhood
		Thoracic empyema -- Jaffé and Cohen 88 (10): 839 -- Archives of Disease in Childhood
		In empyema, the free fluid is evacuated and loculations drained
		Empyema thoracis: a role for open thoracotomy and decortication.
	adc.bmj.com /cgi/content/full/88/10/839 (1717 words)

	ICU-USA - Tour - Empyema
		An empyema is infected fluid that collects in the pleural space (the space around the lung).
		An empyema may occur after surgery of the lung or chest.
		An empyema is treated with antibiotics and drainage.
	www.icu-usa.com /tour/medical_conditions/empyema.htm (239 words)

	SUBDURAL EMPYEMA DUE TO BURKHOLDERIA PSEUDOMALLEI
		Diagnosis is established by demonstrating the empyema by the use of CT scan or magnetic resonance imaging of the head.
		This was probably related to the use of appropriate antibiotics and surgical drainage of the subdural empyema.
		Whether the presence of subdural empyema changes the duration of treatment is not known, since there is no literature on this.
	www.kfshrc.edu.sa /annals/203_204/99-290R.htm (1298 words)

	Video-assisted thoracoscopic surgery and open decortication for pleural empyema -- Ris and Krueger 2006 (109): 273 -- ...
		of empyema and detecting its underlying cause [1].
		This gives an excellent impression on the chronicity of the empyema (rigidity and narrowing of the intercostal spaces, pleural peel on the lung, difficulties to mobilize the lung from the chest wall).
		This may be achieved by use of a vascular dissector device, finger dissection, a tampon mounted on a curved clamp, or by scissors, according to the properties of the peel and the chronicity of the empyema.
	mmcts.ctsnetjournals.org /cgi/content/full/2006/0109/mmcts.2004.000273 (2910 words)

	Enzyme Urokinase Better Option In Empyema For Kids (Site not responding. Last check: 2007-10-09)
		Researchers say that enzyme urokinase provides a better option as a treatment for empyema in children since it is 25 percent less costlier than another treatment video-assisted thoracoscopic surgery.
		Empyema occurs when pus from pneumonia or a lung abscess spreads into the pleural space.
		The aim of treatment in empyema is to sterilize the pleural cavity, reduce fever and ensure the full expansion of the lung so it can return to normal function, said Dr. Sonnappa.
	www.medindia.net /news/view_news_main.asp?x=12381 (493 words)

	Bilateral Empyema Thoracis Treated By Staged Thoracotomies
		The decision was made to perform surgical decortication of both lungs for two reasons: 1) persistence of respiratory distress and poor response of the patient to tube drainage and prolonged (>4 weeks) antibiotics treatment; and 2) the CT scan finding of a thickened cortex and a loculated effusion.
		In pediatric practice, empyema thoracis is most frequently encountered in infants and preschool children.
		Late-stage bilateral empyema is rare in children, but once it happens, confirmation by CT scan is advisable prior to bilateral staged decortication.
	www.kfshrc.edu.sa /annals/194/98-182.html (1354 words)

	Empyema Thoracis from Salmonella Choleraesuis \| CDC EID (Site not responding. Last check: 2007-10-09)
		During the study, 973 patients with a diagnosis of empyema thoracis were identified; 12 (1.23%) of these patients, including 9 men and 3 women, were infected with Salmonella species.
		These data indicate that Salmonella should be considered as a potential cause of thoracic empyema, even in younger patients, especially in the presence of malignancy or hepatobilliary disease.
		In conclusion, thoracic empyema is a rare complication of nontyphoid Salmonella infection and is closely associated with an immunocompromised condition, even in patients <65 years of age.
	www.cdc.gov /Ncidod/EID/vol11no09/05-0030.htm (1304 words)

	ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Empyema
		Risk factors include recent pulmonary (lung) conditions including bacterial pneumonia, lung abscess, thoracic surgery, trauma or injury to the chest, or thoracentesis (a needle inserted through the chest wall to draw off fluid in the pleural space).
		Empyema occurs in 1 out of 10,000 people.
		Abnormal findings, such as friction rub, may be noted when listening to the chest with a stethoscope (auscultation).
	www.enlmedical.com /article/000123.htm (251 words)

Try your search on: Qwika (all wikis)