[Late post-pneumonectomy hematogenous pyothorax. Apropos of 3 cases].
The authors describe three cases of patients who had previously undergone a pneumonectomy (two for cancer, one for bronchiectasis) with a favourable postoperative course, who subsequently developed pyothorax in the thoracic cavity. The bacteria isolated where in the first patient, Pasteurella Multocida; in the second, Campylobacter foetus foetus; in the third, a variety of anaerobic organisms. The characteristic of the organisms allow us to exclude the possibility that these cases of pyothorax were due to a contamination during the operation, in favour of transient bacteraemia with contamination of the fluid of the thoracic cavity. In a patient who has undergone pneumonectomy (as in patients with a joint or valve prosthesis) it is important to avoid (or to treat early) any infections which could give rise to bacteraemia, especially dental infections.
Bellamy
J
J
Centre Chirurgical Val d'Or, Saint-Cloud.
Saada
J
J
Do Dang
Q
Q
D000328:Adult; D002169:Campylobacter Infections / Q000209:etiology; D002168:Campylobacter fetus / Q000302:isolation & purification; D004653:Empyema / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010325:Pasteurella / Q000302:isolation & purification; D010326:Pasteurella Infections / Q000209:etiology; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications