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Related Experiment Video

Updated: May 14, 2026

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice

Published on: March 17, 2014

Chronic tension empyema.

Atsushi Sano¹, Tomohiro Murakawa, Jun Nakajima

¹Department of Thoracic Surgery, The University of Tokyo Hospital,Tokyo, Japan. sanoa-tky@umin.ac.jp

Asian Cardiovascular & Thoracic Annals

|February 23, 2013

Summary

Surgical removal of a chronic empyema capsule relieved lung compression in a patient with a 25-year history of tuberculosis empyema. This intervention improved the patient's overall lung function.

Area of Science:

Thoracic Surgery
Pulmonology
Infectious Disease Management

Background:

Chronic tuberculous empyema is a persistent infection of the pleural space, often leading to significant lung complications.
Long-standing empyema can cause pleural thickening and fibrosis, potentially leading to lung entrapment and compression.
Tension empyema, characterized by progressive enlargement of the empyema cavity, poses a risk of mediastinal shift and cardiorespiratory compromise.

Observation:

A 60-year-old male presented with a 25-year history of left tuberculous empyema.
The patient was diagnosed with chronic tension empyema due to significant enlargement of the empyema cavity.
Enlargement of the empyema cavity was causing compression of the heart and the left lung.

Findings:

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Surgical decortication (empyema capsule removal) was performed to alleviate compression.

The procedure successfully relieved the compression of the left lung.

Post-operative assessment indicated an improvement in the patient's lung function.

Implications:

Empyema capsule removal is an effective treatment for chronic tension empyema causing cardiorespiratory compression.
This surgical approach can lead to significant improvement in pulmonary function in patients with long-standing empyema.
Management of chronic tuberculous empyema requires consideration of surgical intervention to prevent long-term pulmonary sequelae.