Gosset M, Bentayeb H, Poulet C, Lecuyer E, Boutemy M, Chiah A, Douadi Y, Dayen C
Service de Pneumologie, Maladies infectieuses et tropicales, CH Saint Quentin, France.
Rev Mal Respir. 2008 Mar;25(3):344-6. doi: 10.1016/s0761-8425(08)71556-0.
Post pneumonectomy infection is a well-described surgical complication. Treatment usually involves thoracostomy and requires local treatments. We report here an unusual complication of this situation.
A 62 year old man had a pneumonectomy for non-small cell lung cancer. Following this he required a thoracostomy to treat a thoracic empyema and this was treated with local anti-septic agents. Subsequently he developed asthenia and a diagnosis of hyperthyroidism was made secondary to local disinfectant treatment with iodine agents.
We describe an original case of thyroxicosis occurring in a patient following treatment for post-pneumonectomy empyema. We would recommend monitoring thyroid function in this context.
肺切除术后感染是一种已被充分描述的手术并发症。治疗通常包括胸廓造口术,且需要局部治疗。我们在此报告这种情况的一种不寻常并发症。
一名62岁男性因非小细胞肺癌接受了肺切除术。术后,他因胸腔积脓需要进行胸廓造口术,并使用局部抗菌剂进行治疗。随后,他出现了乏力,经诊断,继发于碘剂局部消毒治疗的甲状腺功能亢进症。
我们描述了一例肺切除术后脓胸治疗后患者发生甲状腺毒症的原始病例。在此情况下,我们建议监测甲状腺功能。