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Published on: June 15, 2019
Modified Clagett Procedure Is Effective for Methicillin-Resistant Staphylococcus aureus Postpneumonectomy Empyema: A
Stefan Welter1, Sandra Kampe2, Jan Dziobaka3
1Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West-German Lung Center, University Hospital, University of Duisburg-Essen, Germany.
Abstract:
Postpneumonectomy empyema (PPE) with methicillin-resistant Staphylococcus aureus (MRSA) is a challenging problem because these germs have extensive virulence factors and mechanisms to escape from the host's immune system. The present case was successfully treated with accelerated repeated surgical debridement, vancomycin gauze packing and final obliteration of the postpneumonectomy space with latissimus myoplasty and vancomycin solution.

