Parasitic Infections of the Pleural Space

Skerrett, Shawn J.; Plorde, James J.

doi:10.1055/s-2007-1006275

Cited by 11 publications

(25 citation statements)

References 76 publications

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“…Secondarily, hydatid cysts invasion of the pleura can be the result of a tube thoracostomy given to a patient who previously had hydatid cyst surgery or the treatment of thoracic hydatid cyst [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Pleural manifestation may develop as a complication of pulmonary hydatid disease, which does not involve a parasitic infestation [6][7][8][9]. The rupture of a hydatid cyst in the pleura can cause a wide range of clinical and radiographic symptoms, such as pneumothorax, hydropneumothorax, empyema, abscess formation, pleural thickening, and tension pneumothorax, to develop in the pleural area.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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Objective: Hydatid cyst disease, endemic in Eastern region of Turkey, is a significant parasitic public health problem. In this study, pleural complications of hydatid cysts were presented in 76 cases. Materials and Methods:In our study, of the 412 pulmonary hydatid cyst cases operated on between 2003 and 2011, 76 cases had ruptured into the pleura for various reasons, and the different clinicoradiological presentations were evaluated retrospectively. The age distribution of the cases was between 7 and 56 years, and the mean age was 26.20±13.04. Results:The most frequent symptom due to pleural rupture in patients was dyspnea (44 cases, 57.8%). Etiologically, iatrogenic perforation was detected in four cases and thoracic trauma in nine cases (six car accidents and three falls from a height). An anthelmintic drug use history was found in three cases of ruptured pleura. Spontaneous perforation was detected in the other 60 (78.9%) cases. Two cases that were admitted to the emergency unit and were immediately administered a tube thoracostomy developed tension pneumothorax. In addition, 21 cases had hydropneumothorax, 17 had pneumothorax, and 36 had pleurisy. Morbidity was observed in 30 cases (39.4%). Atelectasis was the most frequent cause of morbidity in these patients (10 cases). The mean duration of hospitalization was determined to be 12.26±2.90 days. Conclusion:This disease can progress asymptomatically for a long time and can sometimes lead to life-threatening emergency situations, such as tension pneumothorax. The delayed admission of a patient to a physician causes the disease to become more complicated and to increase the morbidity and mortality rates. Treatment of the disease is in the form of surgery. Possible parenchymal protection should be applied in surgical treatment, and anatomic resection should not be performed unless necessary.Key Words: Empyema, Capitonnage, Pleura, Rupture Özet Amaç: Kist hidatik hastalığı, yöremizin ve ülkemizin endemik olarak görülen önemli bir paraziter-halk sağlığı sorunudur. Kist hidatik hastalığı, asemptomatik olarak seyredebildiği gibi, tansiyon pnömo-toraks gibi hayatiyet arzeden önemli komplikasyonlarla da kendini gösterebilir. Çalışmamızda kist hidatiğin plevral komplikasyonları 76 olgu temelinde sunulmuştur. Gereç ve Yöntem:2003-2011 yılları arasında opere edilen 412 akciğer kist hidatikli olgudan, plevraya çeşitli nedenlerle ve değişik klinikradyolojik presentasyonlarla rüptüre olan 76 olgu retrospektif olarak değerlendirildi. Olguların 42'si erkek, 34'ü kadındı. Olguların yaş dağılımı 7-56 arasında ve ortalama yaş 26.20±13.04 olarak belirlendi. Bulgular:Plevral rüptür nedeniyle olgularda en sık gözlenen semptom dispne oldu (44 olgu, %57.8). Etyolojide 4 olguda iatrojenik perforasyon, 9 olguda toraks travması (6 olgu araç içi trafik kazası, 3 olguda yüksekten düşme) tesbit edildi. Plevraya rüptüre 3 olguda daha önceden antihelmintik ilaç alımı söz konusuydu. Diğer 60 (%78.9) olguda spontan perforasyon tesbit edildi. Acil ünitesine başvuran ve derhal tüp tora...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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“…Although, in rare instances, SPH has been associated with a haematogenous dissemination of the larvae, usually it is caused by a rupture of a neighbouring cyst with dissemination of the contents of the cyst (multiple daughter cysts and scolices) along the pleura. Less than 10% of these patients develop SPH [3]. This low percentage has been attributed to bacterial superinfection of the pleural space [3].…”

Section: Discussionmentioning

confidence: 99%

“…The organs most commonly affected are the liver and the lungs [1,2]. Pleural involvement is rare, and usually follows the rupture of a pulmonary or hepatic cyst inside the pleural space [3]. Since in about 90% of episodes the cyst is no longer fertile after rupture, secondary pleural hydatidosis (SPH) is a rare event occurring in less than 10% of such cases [3].…”

mentioning

confidence: 99%

“…Pleural involvement is rare, and usually follows the rupture of a pulmonary or hepatic cyst inside the pleural space [3]. Since in about 90% of episodes the cyst is no longer fertile after rupture, secondary pleural hydatidosis (SPH) is a rare event occurring in less than 10% of such cases [3]. Surgery is the treatment of choice for CHD, but antihelmintic therapy has been advocated in patients with recurrent hydatidosis or in those in whom surgical intervention involves a high risk of morbidity or mortality [4].…”

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confidence: 99%

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An unusual presentation of secondary pleural hydatidosis

Aguilar¹,

Fernández-Muixí²,

Magarolas³

et al. 1998

Eur Respir J

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Although pleural involvement is relatively common in cystic hydatid disease, one of the rarest and least known complications is secondary pleural hydatidosis.We report the case of a patient who presented with polycystic secondary pleural hydatidosis 4 yrs after treatment for a pyopneumothorax caused by rupture of a pulmonary cyst near the pleural space. Due to the coexistence of severe chronic obstructive pulmonary disease, surgery was ruled out.The patient was treated with albendazole, with a favourable outcome. Eur Respir J 1998; 11: 243-245.

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Empyema

Seaton¹

2000

Crofton and Douglas's Respiratory Diseases

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Parasitic Infections of the Pleural Space

Cited by 11 publications

References 76 publications

Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

An unusual presentation of secondary pleural hydatidosis

Empyema

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