Background: Empyema thoracis is an accumulation of pus in the pleural space. The incidence of empyema in children is increasing. Adequate knowledge of treatment modalities is therefore essential for every pediatrician. Pediatric empyema thoracis is a complication of bacterial pneumonia, prevalence of empyema is predominant inspite of advent newer antibiotics still resulting in significant morbidity and mortality which attributes to the poverty, ignorance, illiteracy, and poor compliance to therapy. The objective of this study was to study the age-sex profile, clinical presentation, etiologic agents, management and the overall treatment outcome of empyema thoracis in children.Methods: This was a prospective observational study, conducted in the Department of Pediatrics, King George Hospital, Visakhapatnam, from November 2014 to December 2016. All children in age group of 0 to 12 years diagnosed pyogenic empyema during the study period were included in the present study. In the present study 72 children was found to be having empyema.Results: Majority of patients (58.32%) were seen in age group of 1-5 years. Fever (100%), breathlessness (94.44%), and cough (97.22%) were the commonest presenting features. Bacteriological examination revealed staphylococcus aureus as the commonest etiologic agent (16.66%) isolated from pleural fluid culture. All patients were treated with antibiotics, and drainage of the empyema was affected by closed thoracostomy in (80.55%) of the cases. Conclusion: Empyema is not rare in our practice. Early diagnosis and proper treatment of pneumonia prevent the development of empyema. Antibiotics and tube thoracostomy is an effective method of treating pyogenic empyema thoracis in children in resource poor settings.
Gastrojejunostomy was one of most frequently performed surgical procedure 2-3 decades back before the era of proton pump inhibitors. Though other complications are more common, retrograde jejunogastric intussusception is a rare serious complication with few cases reported in world literature. Early diagnosis and high index of suspicion can dramatically reduce the mortality as this condition may lead to strangulation. We report a case of 55 year old man with history of gastrojejunostomy done 21 years back found to have retrograde jejunojejunogastric intussusecption that was managed successfully with dismantling of gastrojejunostomy and pyloroplasty.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.