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Pleural empyema is a collection of pus in the pleural cavity caused by microorganisms, usually bacteria. [1] Often it happens in the context of a pneumonia , injury, or chest surgery. [ 1 ] It is one of the various kinds of pleural effusion .
An empyema (/ ˌ ɛ m p aɪ ˈ iː m ə /; from Ancient Greek ἐμπύημα (empúēma) 'abscess') is a collection or gathering of pus within a naturally existing anatomical cavity. The term is most commonly used to refer to pleural empyema , [ 1 ] which is empyema of the pleural cavity .
Blood that remains within the pleural space can become infected, and is known as an empyema. [3] It occurs in 3–4% of traumatic cases, [ 9 ] and 27-33% of retained hemothoraces. [ 37 ] It is more likely in people who develop shock, had a contaminated pleural space during the injury, persistent bronchopleural fistulae , and lung contusions.
Pleurisy Pleural linings and space (marked in blue) The pleural space can be invaded by fluid, air, and particles from other parts of the body, which fairly complicates diagnosis. [ 12 ] [ 13 ] Viral infection ( coxsackie B virus , HRSV , CMV , adenovirus , EBV , parainfluenza , influenza , COVID-19 ) is the most common cause of pleurisy.
A parapneumonic effusion is a type of pleural effusion (accumulation of fluid in the pleural cavity) that arises as a result of a pneumonia, lung abscess, or bronchiectasis. [1] There are three types of parapneumonic effusions: uncomplicated effusions, complicated effusions, and empyema. Uncomplicated effusions generally respond well to ...
Complications may occur, such as exudative pleural effusion, empyema, and lung abscesses. [4] If left untreated, aspiration pneumonia can progress to form a lung abscess . [ 5 ] Another possible complication is an empyema , in which pus collects inside the lungs. [ 6 ]
A pleural effusion is accumulation of excessive fluid in the pleural space, the potential space that surrounds each lung.Under normal conditions, pleural fluid is secreted by the parietal pleural capillaries at a rate of 0.6 millilitre per kilogram weight per hour, and is cleared by lymphatic absorption leaving behind only 5–15 millilitres of fluid, which helps to maintain a functional ...
A technique called pleurodesis can be used to intentionally create scar tissue within the pleural space, usually as a treatment for repeated episodes of a punctured lung, known as a pneumothorax, or for pleural effusions caused by cancer. While this procedure usually generates only limited scar tissue, in rare cases a fibrothorax can develop.