title: Bismuth paste injection for empyema thoracis: a 100-year-old method revisited.
abstract: Bismuth paste injection into the pleural cavity used to be a treatment for chronic empyema thoracis. This method, however, was long forgotten and scarcely practiced due to advanced surgical techniques and antibiotic therapy. We report a 50-year-old man with chronic empyema thoracis who was successfully treated with bismuth paste injection after a failed surgical decortication and a long-term chest drainage. This case highlights a trial of a 100-year-old method of bismuth paste injection which proved effective after standard measures had failed.
authors.affiliation: Division of Cardiothoracic Surgery, Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia. treda2001@hotmail.com
authors.forename: Talal Ahmed
authors.initials: TA
authors.lastname: Reda Mahmoud
authors.forename: Nor Izham
authors.initials: NI
authors.lastname: Ismail
authors.forename: Ahmad Sobri
authors.initials: AS
authors.lastname: Muda
authors.forename: Mohd Ramzisham
authors.initials: MR
authors.lastname: Abdul Rahman
mesh_terms: D001729:Bismuth / Q000008:administration & dosage*; D002908:Chronic Disease; D016724:Empyema, Pleural / Q000628:therapy*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D009824:Ointments; D012074:Remission Induction
chemical_list: D009824:Ointments; D001729:Bismuth