Indwelling pleural catheter for outpatient management of tuberculous empyema

The use of indwelling pleural catheters (IPC) is well established in the treatment of malignant pleural effusions. They allow symptom management with intermittent drainage without requiring overnight admission to hospital. However, little is known about their effectiveness in the treatment of pleura...

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Bibliographic Details
Published inBMJ case reports Vol. 13; no. 3; p. e233213
Main Authors Iqbal Muhammad, Ambreen, Gavin, Joseph, Wilkinson, Alex
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 08.03.2020
BMJ Publishing Group LTD
BMJ Publishing Group
SeriesCase report
Subjects
Adult
Ambulatory Care
Antibiotics, Antitubercular - therapeutic use
Case reports
Catheters
Catheters, Indwelling
Chronic illnesses
Combined Modality Therapy
Drainage
Emergency medical care
Empyema, Tuberculous - therapy
Fistula
Humans
Infections
Literature reviews
Male
Novel treatment (new drug/intervention; established drug/procedure in new situation)
Patients
pleural infection
Thoracostomy
Tuberculosis
pleural infection
tuberculosis
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Summary:The use of indwelling pleural catheters (IPC) is well established in the treatment of malignant pleural effusions. They allow symptom management with intermittent drainage without requiring overnight admission to hospital. However, little is known about their effectiveness in the treatment of pleural infections. Here, we present a case where an IPC is used in the therapeutic management of tuberculous empyema. The IPC enabled outpatient treatment, allowed the patient to return to work and reduced the cost of treatment and the risk of hospital-acquired complications.
Bibliography:Case report
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2019-233213