Video assisted thoracic surgery in a second trimester pregnant woman with thoracic empyema: a case report

An empyema is an infection of the pleural space that occurs most frequently secondary to the progression of pneumonia. The stages of empyema are based on pleural characteristics and reflect the risks of the condition for morbidity and mortality. Pregnancy is a risk factor for major complications of...

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Bibliographic Details
Published inJournal of reproductive medicine Vol. 60; no. 3-4; p. 172
Main Authors Oshodi, Tope, Carlan, Stephen J, Busowski, Mary, Sand, Mark E
Format Journal Article
LanguageEnglish
Published United States 01.03.2015
Subjects
Adult
Empyema, Pleural - microbiology
Empyema, Pleural - surgery
Female
Humans
Pneumococcal Infections - surgery
Pregnancy
Pregnancy Complications, Infectious - surgery
Pregnancy Trimester, Second
Thoracic Surgery, Video-Assisted
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Summary:An empyema is an infection of the pleural space that occurs most frequently secondary to the progression of pneumonia. The stages of empyema are based on pleural characteristics and reflect the risks of the condition for morbidity and mortality. Pregnancy is a risk factor for major complications of pneumonia, including empyema. A pregnant woman at 25 weeks' gestation with a community-acquired Streptococcus pneumoniae pneumonia underwent video-assisted thoracotomy decortication and debridement of a large loculated, gelatinous empyema after conservative medical therapy failed. Conservative medical therapy with antibiotics alone may not be adequate for advanced bacterial empyema in pregnancy.
ISSN:0024-7758