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Clinical, functional, and radiological outcome in children with pleural empyema

Alberto Maffey1, Alejandro Colom1, Carolina Venialgo1

  • 1Respiratory Center, Ricardo Gutiérrez children's Hospital, Buenos Aires, Argentina.

Pediatric Pulmonology
|January 25, 2019
PubMed

Insights

Pediatric pleural empyema patients show progressive recovery. Clinical and diaphragmatic function normalized first, followed by lung function and imaging, indicating a good prognosis for children with this infection.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Thoracic Imaging

Background:

  • Pleural space infections, or empyema, require further prospective studies on recovery.
  • Long-term consequences of pediatric pleural empyema are not well-documented.

Purpose of the Study:

  • To evaluate clinical, pulmonary, and diaphragmatic function in children hospitalized with pleural empyema.
  • To assess radiological outcomes and recovery trajectories post-treatment.

Main Methods:

  • Prospective evaluation of 30 previously healthy children (6-16 years) with pleural empyema.
  • Utilized diaphragmatic ultrasound, lung function testing, and chest radiography during follow-up.
  • Data collected at hospital discharge and every 30 days until normalization.

Main Results:

  • At discharge, most patients exhibited abnormal breath sounds, restrictive spirometry, and diaphragmatic impairment.
  • Complete recovery of diaphragmatic motion occurred by 90 days, with patients asymptomatic by 120 days.
  • Radiological findings and lung function normalized within 60 and 90 days, respectively, showing significant individual variability.

Conclusions:

  • Pediatric pleural empyema patients experience a complete and progressive recovery.
  • Clinical and diaphragmatic improvements precede radiological and pulmonary function normalization.
  • The study highlights a favorable long-term outlook for children treated for pleural empyema.
Abstract

Keywords:
Empyemachildrencomplicated pneumonianecrotizing pneumoniapulmonary function

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