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Chronic calcified empyema

J Shapir, A Lisbona, M J Palayew

    Journal of the Canadian Association of Radiologists
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Chronic calcified fibrothorax, a lung condition, can hide fluid and lead to serious infections like empyema. Calcification occurs on both lung linings, challenging previous beliefs.

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    Area of Science:

    • Pulmonology
    • Thoracic Surgery
    • Infectious Diseases

    Background:

    • Chronic fibrothorax, characterized by pleural thickening and calcification, can complicate into empyema.
    • The condition may involve a fluid-filled cavity within the thickened pleura.
    • Reactivation of infection after long latency periods is a known risk.

    Observation:

    • Reported are three cases of chronic calcified fibrothorax with complicating empyema.
    • The fibrothorax enveloped a fluid-filled cavity in these patients.
    • Bronchopleural or pleurocutaneous fistulas were associated with infection reactivation.

    Findings:

    • Calcification in chronic fibrothorax is present on both the parietal and visceral pleura.
    • Empyema can develop within a calcified fibrothorax, even after long latent periods.

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  • Fistula formation is a common complication during empyema reactivation.

    • Implications:

    • This challenges the traditional understanding of calcification patterns in fibrothorax.
    • Early recognition of fluid-filled cavities within fibrothorax is crucial for managing empyema.
    • Understanding fistula risks is vital for surgical and medical management strategies.