Erfolgreiche Behandlung eines drittgradigen Pleuraempyems infolge einer COVID-19-Infektion

Karampinis, Ioannis; Likos-Corbett, Marina; Buderi, Silviu

doi:10.1007/s00104-021-01362-4

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…The negative prognostic value of pleural effusion was similar in other types of viral pneumonia 9 . During two years of the COVID-19 pandemic, there were numerous cases of pleural empyema after confirmation of the SARS-CoV-2 infection described in the literature [10][11][12][13][14][15][16] . Only one case described pleural empyema in a patient who underwent the pulmectomy, which ended fatally (hemorrhagic stroke in the third week of treatment).…”

Section: Discussionmentioning

confidence: 99%

“…Slična negativna prognostička vrednost prisustva EP opisana je i kod nekih drugih pneumonija virusne etiologije 9 . U toku dve godine trajanja Kovid-19 pandemije u literaturi je opisano više slučajeva empijema pleure nakon potvrđene infekcije virusom SARS-CoV-2 [10][11][12][13][14][15][16] . Samo u jednom od njih opisan je empijem kod pulmektomisane osobe, i završio se smrtnim ishodom (hemoragijski inzult u trećoj nedelji lečenja), ali je u pitanju bila Kovid-19 infekcija neposredno nakon pulmektomije zbog malignog procesa na plućima 17 .…”

Section: Diskusijaunclassified

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Pleural empyema as a complication of COVID 19 pneumonia in a patient with destroyed lung syndrome

Glavinić-Mijić,

Popović,

Simić-Milovanović

2023

Opšta medicina

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Introduction. Destroyed lung syndrome is a severe destruction of the pleural parenchyma due to lung infection, mostly caused by tuberculosis. Besides tuberculosis, necrotizing pneumonia may also lead to this disease complication. Pleural empyema is a frequent consequence of the destroyed lung syndrome. Pleural empyema may occur during the COVID-19 infection and is negatively correlated with a favorable disease outcome. Case report. A male 50 y/o showed up during the on-call shift during the winter COVID-19 wave with a medical report from the Internal medicine clinic. His personal history is significant for his pneumonectomy in 2016. In the past two months, he had been treated for pneumonia and COVID-19 infection with antibiotics and corticosteroid therapy. Due to prolonged malaise and tachycardia his GP referred him to yet another chest X-ray and lab work. The chest X-ray showed pleural effusion, so he was promptly referred to an on-call hospital. The on-call physician, after looking into the hospital reports, consulted an internal medicine doctor and it was decided to refer the patient to a thoracic surgeon. He was hospitalized for pleural empyema and treated with thoracic drainage using the system of active aspiration. A year later, he feels well, and he regained his appetite, and body mass, with occasional leaking from the thoracic fistule. Conclusion. This case report shows a recurrence of pleural empyema in a patient with pneumonectomy due to necrotizing pneumonia and destroyed lung syndrome, complicated by COVID-19 infection. We aimed to draw the attention of GPs to diseases and disease complications that are rarely met in GP practice and are not otherwise treated on the primary healthcare level.

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Section: Discussionmentioning

confidence: 99%

Section: Diskusijaunclassified

Pleural empyema as a complication of COVID 19 pneumonia in a patient with destroyed lung syndrome

Glavinić-Mijić,

Popović,

Simić-Milovanović

2023

Opšta medicina

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Tracheo‐esophageal fistula and pleural empyema in the course of SARS‐CoV‐2 infection—A case report

Kubik

Smyła

Herba

et al. 2022

Clinical Case Reports

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Bilateral parapneumonic pleural effusion with pneumothorax in a patient with covid 19 pneumonia: case report

Kalenchic

Kabak

Primak

et al. 2022

Radiology Case Reports

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Recurrent pyogenic effusion combined with bilateral pneumothorax is a rare complication associated with the COVID−19 infection. Current article presents the case report of a 68-year-old male with the severe community-acquired bilateral polysegmental viral COVID−19 pneumonia. Chest radiography on the 15th day after admission to the hospital showed the presence of air and pleural effusion in the right pleural cavity with collapse of the right lung. Thoracentesis and thoracostomy in the sixth intercostal space on the mid-axillary line were performed. About 1400 ml of a yellowish opaque liquid were evacuated from the pleural cavity. Pleural fluid analysis confirmed an exudative lymphocytic-rich effusion with no growth of acid-fast bacteria (AFB). In the pleural fluid such gram-negative bacteria as Acinetobacter baumannii and Pseudomonas aeruginosa were cultured. Chest computed tomography obtained on the third day after thoracentesis showed radiological sings of bilateral hydropneumothorax. Needle thoracocentesis and new pleural drainage in the second intercostal space on the right midclavicular line were established. Five days later after the second drainage of the pleural space was initiated the patient was diagnosed with pleural empyema and transferred to the Surgical Clinic. This case report highlights that in patients with COVID-19 recurrent pyogenic effusion combined with bilateral pneumothorax may occur.

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Erfolgreiche Behandlung eines drittgradigen Pleuraempyems infolge einer COVID-19-Infektion

Cited by 3 publications

References 5 publications

Pleural empyema as a complication of COVID 19 pneumonia in a patient with destroyed lung syndrome

Pleural empyema as a complication of COVID 19 pneumonia in a patient with destroyed lung syndrome

Tracheo‐esophageal fistula and pleural empyema in the course of SARS‐CoV‐2 infection—A case report

Bilateral parapneumonic pleural effusion with pneumothorax in a patient with covid 19 pneumonia: case report

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