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多模式治疗(包括手术干预)成功治疗的脓胸:首例病例报告。

Empyema associated with successfully treated with multimodal therapy including surgical intervention: A first case report.

作者信息

Fukuda Senichi, Homma Yuya, Kawakami Hiroki, Yamaji Soichiro, Sato Yuki, Sato Nao, Idemitsu Reina, Kawai Taiki, Inoshima Naoki, Hayashi Jun, Kubota Norihiko, Nagai Tatsuya, Otsuki Ayumu, Ito Hiroyuki, Sugimura Hiroshi, Nakashima Kei

机构信息

Department of Pulmonology, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba, 296-8602, Japan.

Department of Thoracic Surgery, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba, 296-8602, Japan.

出版信息

Respir Med Case Rep. 2025 Jul 2;57:102254. doi: 10.1016/j.rmcr.2025.102254. eCollection 2025.

Abstract

A 77-year-old man presented with right-sided chest pain and dyspnea. Computed tomography revealed a loculated pleural effusion, and thoracentesis yielded purulent fluid. was identified using pleural fluid culture. Despite treatment with ampicillin-sulbactam and thoracic drainage, the patient's condition worsened, requiring video-assisted thoracoscopic surgery. The patient recovered completely after completing an 11-month course of antibiotics. This is the first reported case of empyema associated with . should be considered as a potential cause of empyema, and a comprehensive approach, including surgical intervention, is necessary for optimal management.

摘要

一名77岁男性患者出现右侧胸痛和呼吸困难。计算机断层扫描显示有包裹性胸腔积液,胸腔穿刺抽出脓性液体。通过胸腔积液培养确定了[具体病原体未给出]。尽管使用氨苄西林-舒巴坦治疗并进行了胸腔引流,但患者病情仍恶化,需要进行电视辅助胸腔镜手术。患者在完成11个月的抗生素疗程后完全康复。这是首例报道的与[具体病因未给出]相关的脓胸病例。[具体病因未给出]应被视为脓胸的潜在病因,对于最佳治疗,需要采取包括手术干预在内的综合方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7b/12272784/59df42e94d0b/gr1.jpg

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