Successful thoracoscopic treatment of severe bilateral empyema in an infant.
We report a case of rapid progression of bilateral pyothorax exacerbated by viral influenza in an infant. The patient, an 11-month-old girl, was diagnosed with viral influenza, and oseltamivir phosphate was administered. However, after only 4 days the influenza was followed by rapid progression of methicillin-susceptible Staphylococcus aureus (MSSA) pneumonia and pyothorax, resulting in disseminated intravascular coagulation. Because thoracentesis and antibiotics could not control the pyothorax, a serious condition, we performed bilateral video-assisted thoracoscopic decortication on the eighth hospital day. She recovered with excellent lung expansion and was discharged on the 37th hospital day.
Tanaka
Kei
K
Department of Chest Surgery, Matsudo City Hospital, 4005 Kamihongo, Matsudo, Chiba, Japan.
Mizobuchi
Teruaki
T
Fujiwara
Taiki
T
Saito
Tomoyasu
T
Hiramoto
Ryugo
R
Iwai
Naomichi
N
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004211:Disseminated Intravascular Coagulation / Q000382:microbiology; D004322:Drainage; D016724:Empyema, Pleural / Q000382:microbiology* / Q000601:surgery* / Q000821:virology; D005260:Female; D006801:Humans; D007223:Infant; D009980:Influenza A virus; D007251:Influenza, Human / Q000150:complications / Q000188:drug therapy / Q000821:virology; D011023:Pneumonia, Staphylococcal / Q000175:diagnosis* / Q000188:drug therapy; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents