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Parapneumonic Effusions and Empyema
Seminars in Respiratory and Critical Care Medicine, 2001Parapneumonic effusions occur in up to 60% of patients hospitalized with community acquired pneumonia. Fortunately, the majority of these effusions follow an uncomplicated course responding to antibiotic therapy alone. An important subgroup of patients, however, follow a complicated course progressing to an empyema unless infected pleural fluid is ...
J E, Heffner, J, Klein
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The American Journal of Medicine, 1980
In this study the incidence and course of pleural effusions (parapneumonic effusions) in patients with acute bacterial pneumonia were prospectively evaluated. Bilateral decubitus chest x-ray films were obtained within 72 hours of admission in 203 patients with an acute febrile illness, purulent sputum and an infiltrate evident on the chest film. Ninety
R W, Light +3 more
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In this study the incidence and course of pleural effusions (parapneumonic effusions) in patients with acute bacterial pneumonia were prospectively evaluated. Bilateral decubitus chest x-ray films were obtained within 72 hours of admission in 203 patients with an acute febrile illness, purulent sputum and an infiltrate evident on the chest film. Ninety
R W, Light +3 more
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Pediatric Parapneumonic Effusion/Pleural Empyema in Japan
The Pediatric Infectious Disease Journal, 2021Supplemental Digital Content is available in the text. Background: Pediatric parapneumonic effusion/ pleural empyema (PPE/PE) is a severe infectious condition, and its management should be guided by local epidemiology and the patient’s medical history ...
T. Hoshino +5 more
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Sonographic septation: a useful diagnostic predictor of complicated parapneumonic effusion
Journal of Investigative Medicine, 2021Sonographic septation is associated with prolonged hospitalization and increased mortality in patients diagnosed with empyema. However, it is unknown whether sonographic septation is associated with complicated parapneumonic effusion (CPPE) or the need ...
Shan-Yueh Chang +7 more
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American Journal of the Medical Sciences, 2021
BACKGROUND Data regarding predictors of the outcome in patients with community-acquired complicated parapneumonic effusion (CPPE) or empyema are insufficient.
Jieun Park +12 more
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BACKGROUND Data regarding predictors of the outcome in patients with community-acquired complicated parapneumonic effusion (CPPE) or empyema are insufficient.
Jieun Park +12 more
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Management of complicated parapneumonic effusions
Current Opinion in Pulmonary Medicine, 2022Purpose of review Approximately 36–57% of cases of pneumonia are associated with a parapneumonic effusion (PPE). It begins as sterile effusion, which can quickly evolve to a fibrinopurulent stage with evidence of infection called complicated parapneumonic effusions (CPPE). Marked fibrinous organization then follows.
Sahar, Sultan +2 more
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Archives of Disease in Childhood, 2021
Parapneumonic effusion is defined as the accumulation of pleural fluid associated with lung infection/pneumonia. Parapneumonic effusions can be uncomplicated or complicated. They are caused by the spread of infection and inflammation to the pleural space,
J. Dykes +3 more
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Parapneumonic effusion is defined as the accumulation of pleural fluid associated with lung infection/pneumonia. Parapneumonic effusions can be uncomplicated or complicated. They are caused by the spread of infection and inflammation to the pleural space,
J. Dykes +3 more
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MANAGEMENT OF PARAPNEUMONIC EFFUSIONS
Clinics in Chest Medicine, 1998When a patient with a parapneumonic pleural effusion is first evaluated, a therapeutic thoracentesis should be performed if more than a minimal amount of pleural fluid is present. Fluid obtained at the therapeutic thoracentesis should be gram-stained and cultured and analyzed for glucose, pH, LDH, white blood cells, and differential cell count.
R W, Light, R M, Rodriguez
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Percutaneous management of parapneumonic effusions
European Journal of Radiology, 2005Parapneumonic effusions continue to be a significant source of morbidity and mortality. Treatment at earlier stages before fibrous peel and loculations occur has a much better prognosis. Using image guidance, addition of intracavitary fibrinolytic instillation, close follow-up with drainage of residual or new collections are some of the other factors ...
Orhan S, Ozkan +2 more
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Management of Parapneumonic Effusion and Empyema.
Clinics in Chest MedicinePleural infection, involving bacterial invasion of the pleural space, often stems from pneumonia but can occur independently. The 2 tenets of management are antibiotics and chest drainage, with intrapleural enzyme therapy or surgery required in select ...
M. Bhatnagar +3 more
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