Case Of Pyopneumothorax Research Articles

Tension Pyopneumothorax in an Immunocompetent Adolescent: A Case Report.

Tension pyopneumothorax is a rare, life-threatening condition that occurs as a complication of intrathoracic infection or bronchopleural fistula. In the few cases reported in the literature, the patients typically have multiple comorbidities, underlying lung disease, and/or an immunocompromised state. This case describes tension pyopneumothorax in a previously healthy adolescent male with no existing risk factors for this disease. After emergent stabilization and admission, surgical exploration of the chest revealed no fistulas or pleural defects. Extensive workup did not show any underlying risk factors for development of this condition. This case of pyopneumothorax with progression to tension physiology is exceedingly rare. Uniquely, the patient had no underlying medical or anatomical predisposition to developing this condition. The case also emphasizes pediatric patients' capacity to compensate in the setting of critical illness.

Delayed presentation of traumatic bronchial tear and successful repair

A 20 year old patient who was referred as a case of pyo-pneumothorax following blunt trauma sustained 3 months ago was found to have complete bronchial transection of the right main bronchus. He was taken up for surgery and after decortication; the two ends of the bronchus were re-anastomosed. The lung expanded fully and the patient had an uneventful postoperative course.

Pyopneumothorax in infants

Summary A case of pyopneumothorax diagnosed during life and confirmed by autopsy is reported in an infant six days old, the youngest on record. The condition was apparently due to septicopyemia by the Staphylococcus aureus which was isolated from the pus from deep abscess of the thigh and the pleural exudate.

PYOPNEUMOTHORAX AND PNEUMOTHORAX

Pneumothorax alone, or accompanied by serous fluid, or by pus, is infrequent enough in any single clinic to be of sufficient interest to study and report. In the present case of pyopneumothorax (Case 1) there is added interest on account of the obscured physical signs and symptoms, the unusual partial encapsulation of the pneumothorax, as shown by roentgenogram, and the transmitted cardiac pulsation through the fluid. In the majority of cases the collapsed lung is easily discernible by Roentgen ray and can be made out by percussion near the mediastinal border, in contrast to the hyperresonant, tympanitic condition of the rest of the chest, and at the base of the pleural cavity the fluid can be easily marked out. In a typical case of pneumothorax, such as is reported here, and which preceded the present case of pyopneumothorax by a few weeks, diagnosis is not a difficult matter. When atypical

A Case of Pyo-pneumothorax, in which Sudden Death Occurred

A Case of Pyo-pneumothorax, in which Sudden Death Occurred