Management of parapneumonic pleural effusion in children: is there a role for corticosteroids when conventional non‐surgical management fails? A single center 15‐year experience.

2021 ◽  
Author(s):  
Matthieu Thimmesch ◽  
André Mulder ◽  
Frédéric Lebrun ◽  
Frédéric Piérart ◽  
Caroline Genin ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Surgical Management ◽  
Single Center ◽  
Parapneumonic Pleural Effusion

Protein analysis of pediatric parapneumonic pleural effusion after intrapleural urokinase treatment

2010 ◽  
Vol 34 (8) ◽  
pp. S69-S69
Author(s):  
Jieh‑Neng Wang ◽  
Pao‑Chi Liao ◽  
Yu‑Chin Tasi ◽  
Jing‑Ming Wu
Keyword(s):  
Pleural Effusion ◽  
Protein Analysis ◽  
Parapneumonic Pleural Effusion

Predictive Factors of Poor Prognosis After Surgical Management of Traumatic Acute Subdural Hematomas: A Single-Center Series

2019 ◽  
Vol 126 ◽  
pp. e944-e952 ◽  
Author(s):  
Guillaume Baucher ◽  
Lucas Troude ◽  
Vanessa Pauly ◽  
Florian Bernard ◽  
Laurent Zieleskiewicz ◽  
...  
Keyword(s):  
Surgical Management ◽  
Predictive Factors ◽  
Poor Prognosis ◽  
Single Center ◽  
Subdural Hematomas

scholarly journals Blood Culture Bottle and Standard Culture Bottle Methods for Detection of Bacterial Pathogens in Parapneumonic Pleural Effusion

2015 ◽  
Vol 8 (10) ◽  
Author(s):  
Surapan Charoentunyarak ◽  
Sarassawan Kananuraks ◽  
Jarin Chindaprasirt ◽  
Panita Limpawattana ◽  
Kittisak Sawanyawisuth
Keyword(s):  
Pleural Effusion ◽  
Blood Culture ◽  
Bacterial Pathogens ◽  
Blood Culture Bottle ◽  
Culture Bottle ◽  
Parapneumonic Pleural Effusion ◽  
Standard Culture

Decortication, thoracic omentalization, and pericardiectomy for treatment of severe fibrosing pleuritis in a cat

2022 ◽  
pp. 1-6
Author(s):  
Danny Sack ◽  
Philip Hyndman ◽  
Melissa Milligan ◽  
Daniel Spector
Keyword(s):  
Pleural Effusion ◽  
Surgical Management ◽  
Multimodal Analgesia ◽  
Clinical Findings ◽  
Acute Onset ◽  
Thoracic Wall ◽  
Thoracic Radiography ◽  
Pulmonary Atelectasis ◽  
Clinically Normal ◽  
Lung Lobes

Abstract CASE DESCRIPTION A 5-year-old spayed female domestic shorthair cat was evaluated because of an acute onset of dyspnea and open-mouthed breathing. CLINICAL FINDINGS Thoracic radiography revealed pleural effusion and signs consistent with restrictive pleuritis, and results of preoperative CT were consistent with diffuse, severe restrictive pleuritis, bilateral pleural effusion, and pulmonary atelectasis. Thoracocentesis yielded a red, turbid fluid that was identified as chylous effusion with chronic inflammation. TREATMENT AND OUTCOME Exploratory thoracotomy revealed diffuse, severe fibrous adhesions between the mediastinum, heart, lung lobes, and thoracic wall, with a thick fibrous capsule enveloping all lung lobes. Surgical treatment consisted of complete pleural decortication, pericardiectomy, and thoracic omentalization. The cat remained hospitalized for 6 days, receiving oxygen supplementation, multimodal analgesia, and supportive care. Long-term home care consisted of prednisolone administration, rutin supplementation, and provision of a low-fat diet. At recheck examinations 3-, 7-, and 20-weeks postoperatively, the cat remained tachypneic, but was otherwise clinically normal without dyspnea or respiratory distress. Follow-up thoracic radiography revealed improved pulmonary expansion, decreased pleural effusion, and resolved pneumothorax. CLINICAL RELEVANCE Surgical management of fibrosing pleuritis secondary to idiopathic chylothorax in cats has historically resulted in poor outcomes. This report details the first successful use of complete decortication in the surgical management of severe fibrosing pleuritis in a cat.

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