PMID: 20625666Jul 14, 2010Paper

Necrotizing pneumonia in children submitted to thoracoscopy due to pleural empyema: incidence, treatment and clinical evolution

Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Maurício MacedoTatiana Cristina Miranda Oliveira

Abstract

To assess the incidence of necrotizing pneumonia (NP) in children submitted to thoracoscopy, comparing patients with and without NP in terms of the presentation and clinical evolution. A retrospective study of children with pleural empyema submitted to thoracoscopy. Thoracoscopy was performed in patients not previously submitted to thoracic drainage and in whom there was evidence of loculated effusion or pneumothorax, as well as in those previously submitted to thoracic drainage and in whom there was persistent pneumothorax or fever with purulent discharge. On the basis of the thoracoscopy findings, patients were distributed into two groups: those with NP (NP group) and those without (no-NP group). The study sample comprised 52 patients. Of the 24 patients with NP, 19 (79%) had undergone thoracic drainage prior to thoracoscopy, 11 (46%) presented with pneumothorax, and 16 (67%) developed bronchopleural fistula. In the NP group, the median drainage time and the median length of hospital stay were 18 and 19 days, respectively. Of the 28 patients without NP, 10 (36%) had undergone thoracic drainage prior to thoracoscopy, 9 (32%) presented pneumothorax, and 5 (18%) developed bronchopleural fistula. In the no-NP group, the median dr...Continue Reading

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Citations

Apr 14, 2020·Paediatrics and International Child Health·Augusta Aragão ArrudaMaria Fernanda Gomes
Aug 5, 2017·Pneumonia·I Brent MastersKeith Grimwood
Apr 22, 2016·Insights Into Imaging·Apeksha ChaturvediAbhishek Chaturvedi
Apr 3, 2020·Revista do Colégio Brasileiro de Cirurgiões·Ricardo de Stefani DalponteChristian de Escobar Prado

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