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Bilateral empyema treated by sequential pleuroscopy.

Kostas Archontogeorgis1, Anthony Lanfranco, Andreas Koulelidis

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Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace
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Bilateral empyema with infectious pericarditis is rare and dangerous. Sequential pleuroscopy successfully treated a patient with this condition, demonstrating its potential for complex cases.

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Area of Science:

  • Thoracic Surgery
  • Infectious Diseases
  • Cardiology

Background:

  • Bilateral empyema with infectious pericarditis is a rare and life-threatening condition.
  • Medical thoracoscopy (pleuroscopy) is effective for single-hemithorax empyema.
  • Previous reports lack cases of bilateral empyema treated with thoracoscopy.

Observation:

  • A 71-year-old male presented with bilateral empyema and infectious pericarditis.
  • The patient underwent sequential pleuroscopy for treatment.
  • The procedure was performed sequentially on both sides.

Findings:

  • Successful treatment of bilateral empyema using sequential pleuroscopy.
  • Resolution of infectious pericarditis concurrently.
  • The patient experienced a positive outcome post-procedure.

Implications:

  • Sequential pleuroscopy is a viable treatment option for bilateral empyema.
  • This approach may be beneficial in managing complex thoracic infections.
  • Highlights the utility of minimally invasive techniques in rare, severe conditions.