[The percutaneous treatment of purulent intrathoracic fluid collections in HIV+ patients].
Eighteen HIV+ patients with purulent fluid intrathoracic collections (16 pleural empyemas and 2 lung abscesses) and persistent sepsis were treated with percutaneous drainage; all patients had received antibiotics for 5-7 days at least. Empyemas and lung abscesses were cured (according to clinical and radiographic criteria) in all patients (100%). One major complication was successfully treated--i.e., a pneumothorax with a iatrogenic lesion of the internal mammary artery, requiring selective embolization. In our experience, CT is the method of choice to guide lesion puncture. Van Sonnenberg Sump catheters (12-16 F) have been inserted in the last six months with the Trocar technique. The maneuvers were successful in all cases, with good compliance and management of patients in a 9-25 days' period (mean: 14 days). In our experience, the percutaneous drainage of intrathoracic fluid collections in HIV+ patients should be considered the method of choice.
Ambrogi
C
C
Servizio di Radiologia, Ospedale S. M. Goretti, Latina.
Cianni
R
R
Perona
F
F
Barile
A
A
Ferro
C
C
D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D016724:Empyema, Pleural / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006679:HIV Seropositivity / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015497:HIV-1 / Q000276:immunology*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D014057:Tomography, X-Ray Computed
Trattamento percutaneo di raccolte purulente endotoraciche in pazienti HIV+.