title: Surgical intervention for thoracic infections.
abstract: Multidisciplinary management of thoracic infection, including experts in thoracic surgery, pulmonology, infectious disease, and radiology, is ideal for optimal outcomes. Initial assessment of parapneumonic effusion and empyema requires computed tomographic evaluation and consideration for fluid sampling or drainage. Goals for the treatment of parapneumonic effusion and empyema include drainage of the pleural space and complete lung reexpansion. Pulmonary abscess is often successfully treated with antibiotics and observation. Surgical intervention for the treatment of fungal or tuberculous lung disease should be undertaken by experienced surgeons following multidisciplinary assessment. Sternoclavicular joint infection often requires joint resection.
authors.affiliation: Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, J4-1, Cleveland, OH 44195, USA. Electronic address: raymond3@ccf.org.
authors.forename: Daniel
authors.initials: D
authors.lastname: Raymond
mesh_terms: D004322:Drainage / Q000379:methods; D016724:Empyema, Pleural / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D009164:Mycobacterium Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D010996:Pleural Effusion / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D055732:Pulmonary Aspergillosis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013247:Sternoclavicular Joint / Q000382:microbiology / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D013907:Thoracostomy; D013908:Thoracotomy
keywords: Aspergilloma; Empyema; Infection; Parapneumonic effusion; Pulmonary abscess; Sternoclavicular joint infection; Tuberculosis