Post-pneumonectomy empyema (PPE), with or without bronchopleural fistula, is a challenging and serious entity with significant mortality and morbidity. PPE is usually caused by bacteria such as staphylococci, streptococci and also gram-negative rods. Among fungal pathogens, species is a very rare cause of this entity. Herein, we describe an unusual case of delayed post-pneumonectomy empyema necessitans caused by in a 65-year-old man with favourable clinical outcome by combined surgical and antifungal therapy.
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| http://dx.doi.org/10.1002/rcr2.930 | DOI Listing |
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Enhancing treatment approaches for postpneumonectomy empyema: exploring the role of video-assisted thoracic surgery.
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Department of Cardiothoracic and Vascular Surgery, WestpfalzKlinikum, Kaiserslautern, Germany.
Introduction: Postpneumonectomy empyema (PPE) poses a substantial postoperative risk, even in the absence of a bronchopleural fistula, often necessitating surgical intervention for resolution.
Aim: To evaluate the efficacy of video-assisted thoracic surgery (VATS) in managing PPE, supported by a comprehensive review of pertinent literature.
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Novel management of pseudomonas biofilm-like structure in a post-pneumonectomy empyema.
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View Article and Find Full Text PDFArticle Synopsis
- There is a lack of comprehensive data on effective treatment for oesophagopleural fistula (OPF) after pneumonectomy, primarily consisting of case reports.
- The study analyzed two cases at a medical institution and reviewed existing literature, finding that OPF typically occurs about 12.5 months post-surgery, often in older patients, and associated with a 31% mortality rate.
- The management of OPF varies widely, with some patients receiving conservative care and others undergoing endoscopic or surgical treatments, highlighting the need for better standardized approaches and collaboration among specialized medical teams.
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