PMID: 8957359Dec 1, 1996Paper

Management of AIDS-related pneumothorax

The Annals of Thoracic Surgery
G D TrachiotisW R Hix

Abstract

Pneumothorax (PTX) occurs in 5% of patients with acquired immunodeficiency syndrome (AIDS) infected with Pneumocystis carinii pneumonia, and up to 50% of those will die during hospitalization. The treatment strategies for managing AIDS-related PTXs are often complex and ineffective at treating the PTX, and they can prolong hospitalization. We reviewed our experience with 36 male patients with AIDS treated for 44 PTXs over a 2.5-year period to determine if a particular therapeutic approach could allow for an earlier recovery and effective treatment of the PTX. All patients had current or prior history of Pneumocystis carinii pneumonia infection, and the CD4+ T-lymphocyte counts were less than 100/microL in 100%. Twenty-seven patients with 31 PTXs were discharged from the hospital. Of these 31 PTXs, 21 had resolved at the time of the patient's discharge from the hospital, and the other 10 PTXs were converted from Pleurevac (Deknatel, Inc, Fall River, MA) drainage to a Heimlich valve for persistent bronchopleural fistula after more than 15 days of conventional treatment. The PTXs were effectively managed by tube thoracostomy alone in 18/44 PTXs (41%), tube thoracostomy plus sclerosing therapy in 2/8 PTXs (25%), and thoracotomy wit...Continue Reading

References

Aug 1, 1976·The Annals of Thoracic Surgery·C MercierL C Pelletier
Nov 1, 1992·The Annals of Thoracic Surgery·G D TrachiotisB L Aaron
Oct 1, 1989·Radiology·J E KuhlmanS S Siegelman
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Mar 1, 1994·Chest·C A ReadM S Richardson
Nov 1, 1994·Chest·H SlabbynckC Boutin
Apr 1, 1993·The Annals of Thoracic Surgery·W A WalkerC Kennedy

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Citations

Feb 4, 1998·Critical Care Clinics·C F Decker, H Masur
Mar 23, 2000·The New England Journal of Medicine·S A Sahn, J E Heffner
Jul 27, 2001·Current Opinion in Pulmonary Medicine·B Afessa
Oct 26, 2010·The American Journal of Emergency Medicine·Chia-Hung ChenChih-Yen Tu
Sep 26, 1997·The Journal of Thoracic and Cardiovascular Surgery·D R FlumM K Wallack
Jul 1, 1998·Clinics in Chest Medicine·J M Beck
Jul 14, 2001·Chest·M H Baumann

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