Postpneumonectomy MRSA empyema treated with vacuum therapy – case report and literature review
Authors:
P. Horák; K. Jágrová; J. Fulík; A. Erbenová; J. Fanta
Authors place of work:
Chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Bulovka, Praha
Published in the journal:
Rozhl. Chir., 2021, roč. 100, č. 10, s. 502-506.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2021.100.10.502–506
Summary
Introduction: Postpneumonectomy empyema is one of serious complications with high mortality and lethality. In this paper, the authors describe the treatment of methicillin-resistant Staphylococcus aureus-induced postpneumonectomy empyema by vacuum therapy in a patient operated on for malignant pleural mesothelioma.
Case report: A 64-year-old patient was operated on at our clinic for epithelioid mesothelioma of the right pleural cavity. We performed extrapleural pneumonectomy with intraoperative hyperthermic intrathoracic chemotherapy. Seven weeks after surgery the patient was readmitted for right pleural cavity empyema caused by methicillin-resistant Staphylococcus aureus (MRSA). Following pleural cavity debridement and mesh explantation we applied vacuum therapy. In total, we performed 4 dressing changes with final application of an antibiotic solution into the pleural cavity and wound closure. The patient showed no evidence of recurrent empyema during subsequent 12-month follow-up and underwent chemotherapy.
Conclusion: Vacuum therapy is an effective treatment of postpneumonectomy empyema in patients without a bronchopleural fistula; nevertheless, specific postpneumonectomy patient care is required.
Keywords:
vacuum therapy – Methicillin-resistant Staphylococcus aureus – malignant pleural mesothelioma – pneumonectomy – empyema
Zdroje
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Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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