Pleural empyema

H

Howard Cheni

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Revision as of 17:13, 30 August 2025
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[td]'''Pleural empyema''' is a collection of [[pus]] in the [[pleural cavity]]. It is caused by [[microorganism]]s, usually [[bacteria]].<ref name=Red2017/> It often happens in the context of a [[pneumonia]], injury, or chest surgery.<ref name=Red2017>{{cite journal | vauthors = Redden MD, Chin TY, van Driel ML | title = Surgical versus non-surgical management for pleural empyema | journal = Cochrane Database Syst Rev | volume = 2017 | pages = CD010651 | date = March 2017 | issue = 3 | pmid = 28304084 | pmc = 6464687 | doi = 10.1002/14651858.CD010651.pub2 |issn=1469-493X }}</ref> It is one of the various kinds of [[pleural effusion]]. Pleural empyema contain three stages: exudative: when there is an increase in [[pleural fluid]] with or without the presence of pus; fibrinopurulent: when fibrous septa form localized pus pockets, and the final organizing stage: when there is scarring of the pleura membranes with possible inability of the lung to expand. Simple pleural effusions occur in up to 40% of bacterial pneumonias. They are usually small and resolve with appropriate [[antibiotic]] therapy. However, if an [[empyema]] develops additional intervention is required.[/td]
[td]'''Pleural empyema''' is a collection of [[pus]] in the [[pleural cavity]]. It is caused by [[microorganism]]s, usually [[bacteria]].<ref name=Red2017/> It often happens in the context of a [[pneumonia]], injury, or chest surgery.<ref name=Red2017>{{cite journal | vauthors = Redden MD, Chin TY, van Driel ML | title = Surgical versus non-surgical management for pleural empyema | journal = Cochrane Database Syst Rev | volume = 2017 | pages = CD010651 | date = March 2017 | issue = 3 | pmid = 28304084 | pmc = 6464687 | doi = 10.1002/14651858.CD010651.pub2 |issn=1469-493X }}</ref> It is one of the various kinds of [[pleural effusion]]. Pleural empyema contains three stages: exudative: when there is an increase in [[pleural fluid]] with or without the presence of pus; fibrinopurulent: when fibrous septa form localized pus pockets, and the final organizing stage: when there is scarring of the pleura membranes with possible inability of the lung to expand. Simple pleural effusions occur in up to 40% of bacterial pneumonias. They are usually small and resolve with appropriate [[antibiotic]] therapy. However, if an [[empyema]] develops additional intervention is required.[/td]
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[td]== Signs and symptoms ==[/td]
[td]== Signs and symptoms ==[/td]
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[td]== Mechanism ==[/td]
[td]== Mechanism ==[/td]
[td]When there is inflammation at the pleural space, fluid production is increased. As the disease progresses, bacteria can arrive at the fluid, which creates an empyema.<ref>{{Citation|last1=Garvia|first1=Veronica|title=Empyema|date=2021|url=https://www.ncbi.nlm.nih.gov/books/NBK459237/|work=StatPearls|place=Treasure Island (FL)|publisher=StatPearls Publishing|pmid=29083780|access-date=2021-06-19|last2=Paul|first2=Manju}}</ref>[/td]
[td]When there is inflammation in the pleural space, fluid production is increased. As the disease progresses, bacteria can arrive at the fluid, which creates an empyema.<ref>{{Citation|last1=Garvia|first1=Veronica|title=Empyema|date=2021|url=https://www.ncbi.nlm.nih.gov/books/NBK459237/|work=StatPearls|place=Treasure Island (FL)|publisher=StatPearls Publishing|pmid=29083780|access-date=2021-06-19|last2=Paul|first2=Manju}}</ref>[/td]
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[td]== Diagnosis ==[/td]
[td]== Diagnosis ==[/td]

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