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Sjogren's syndrome is an autoimmune condition characterized by infiltration of exocrine glands but, in rare cases, can have extraglandular involvement with pleural effusion being an exceedingly rare form. Here we present a case of Sjogren's pleuritis resulting in pleural effusion, a rare initial presentation for Sjogren's syndrome. A woman in her 20s presented to the emergency department after a recent hospitalization for pneumonia, pleural effusion, and pulmonary embolism.

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Boerhaave's syndrome is a rare critical condition manifesting as transmural esophageal rupture. It is usually associated with forceful emesis and increased intraesophageal pressure. Immediate aggressive surgical intervention is imperative in such cases.

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Surgery for pleural mesothelioma in multimodality setting: comparison between surgical techniques in a high-volume centre.

Eur J Cardiothorac Surg

November 2024

Thoracic Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.

Objectives: Pleural mesothelioma (PM) is an aggressive disease linked to asbestos exposure, presenting significant treatment challenges. The recommended approach is multimodal treatment, even if the concept of resectable PM and the superiority of one surgical technique over the other [(extended) pleurectomy decortication [(E)PD] vs extra-pleural pneumonectomy (EPP)] are matter of debates. The aim of this study is to compare the 2 techniques in terms of short- and long-term outcomes at a high-volume centre.

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Article Synopsis
  • Pleural effusions, a common complication after lung transplantation, affect 10% to 26% of patients, prompting this study to identify factors linked to significant cases requiring repeat interventions.
  • The study reviewed 77 lung transplant recipients who underwent thoracentesis from 2012 to 2022, comparing those needing only one procedure to those requiring multiple interventions.
  • Findings revealed that patients needing additional procedures showed larger effusions, increased loculations, and higher levels of eosinophils and monocytes in pleural fluid, suggesting these characteristics could help predict problematic effusions.
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: COVID-19-related pulmonary complications, such as lung abscesses and pleural empyema, are rare but serious. This study presents a case series of three patients with COVID-19-associated lung abscesses complicated by pleural empyema, managed conservatively with percutaneous intracavitary drainage (ICD) and lavage. We assess the efficacy and safety of this treatment and compare our findings with the current literature.

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