The parafalx
empyemas were mainly caused by sinusitis (n=19), trauma (n=8) and meningitis (n=5).
(6.) Luh SP, Chou MC, Wang LS, Chen JY, Tsai TE Video-assisted thoracoscopic surgery in the treatment of complicated para-pneumonic effusions or
empyemas: outcome of 234 patients.
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Empyema. Routine use of the conjugate pneumococcal vaccine does not appear to have decreased the incidence of
empyema in children, although it has reduced the number of cases caused by Streptococcus pneumoniae.
To the Editor: With the advent of antibiotics application, intracranial complications of paranasal sinusitis, including meningitis, intracranial abscess, subdural
empyema (SDE), epidural abscess, cavernous sinus thrombosis, and thrombosis of other dural sinuses, have become uncommon.[1] However, SDE is still a life-threatening disease entity.
In our study, no difference in procedure success rates was observed between culture proven
empyema or parapneumonic effusion which was similar to study of LeMense et al, [6] which also observed no difference in procedure success rates or hospital stay between multiloculated and uniloculated
empyemas, parapneumonic and non-parapneumonic
empyemas.
We report the first case of pleural
empyema caused by S.
Only 2.7% of meningitis cases develop into a subdural abscess (subdural
empyema, SDE) (1).
Fully immunized cases with pneumoccal vaccine may sometimes develop a complicated pneumonia with
empyema caused by a vaccine serotype.
Also, leftsided pleural nodules with a history of prior trauma may reflect splenosis while
empyemas occasionally involve the mediastinal pleura.
Fibrinolytic treatment of complicated pediatric thoracic
empyemas with intrapleural streptokinase.
On MRI, there was pus in the right lateral ventricle and 4th ventricle and posterior falx and medial left occipital lobe
empyemas. There was edema and mass effect with a right to left midline shift of about 9 mm.
CT follow-up of
empyemas: pleural peels resolve after percutaneous catheter drainage.
Among patients with pneumonia, 12 of 17 CA-MRSA were complicated (9
empyemas and 3 pneumatocele/pneumothorax) versus 2 of 13 CA-MSSA (1
empyema and 1 pneumatocele).
