Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report
Posttraumatic empyema is a rare complication of trauma with an incidence of 1.6–2.4% in trauma patients. However, it is rarely reported in children. We report the case of a 15-year-old boy who was involved in a traffic accident and diagnosed with a pulmonary contusion at a local hospital. Fourteen d...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X10700085 |
| _version_ | 1818214712238669824 |
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| author | Chang-Hung Kuo I-Chen Chen Shih-Shiung Lin Ming-Chen Paul Shih Jiunn-Ren Wu Zen-Kong Dai Mei-Chyn Chao |
| author_facet | Chang-Hung Kuo I-Chen Chen Shih-Shiung Lin Ming-Chen Paul Shih Jiunn-Ren Wu Zen-Kong Dai Mei-Chyn Chao |
| author_sort | Chang-Hung Kuo |
| collection | DOAJ |
| description | Posttraumatic empyema is a rare complication of trauma with an incidence of 1.6–2.4% in trauma patients. However, it is rarely reported in children. We report the case of a 15-year-old boy who was involved in a traffic accident and diagnosed with a pulmonary contusion at a local hospital. Fourteen days after the accident, posttraumatic empyema thoracis and lung abscess developed with clinical presentations of fever, productive cough and right chest pain. He was successfully treated with computed tomography-guided catheter drainage and intravenous cefotaxime. We emphasize that posttraumatic empyema thoracis and lung abscess are very rare in children, and careful follow-up for posttraumatic lung contusion is essential. Image-guided catheter drainage can be an adjunctive tool for treating selected patients, although most complicated cases of post-traumatic empyema thoracis require decortication therapy. |
| first_indexed | 2024-12-12T06:24:32Z |
| format | Article |
| id | doaj.art-aced49263878455ca4bd2790611ef7c6 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-12T06:24:32Z |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-aced49263878455ca4bd2790611ef7c62022-12-22T00:34:50ZengWileyKaohsiung Journal of Medical Sciences1607-551X2010-01-01261454910.1016/S1607-551X(10)70008-5Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case ReportChang-Hung Kuo0I-Chen Chen1Shih-Shiung Lin2Ming-Chen Paul Shih3Jiunn-Ren Wu4Zen-Kong Dai5Mei-Chyn Chao6Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanPosttraumatic empyema is a rare complication of trauma with an incidence of 1.6–2.4% in trauma patients. However, it is rarely reported in children. We report the case of a 15-year-old boy who was involved in a traffic accident and diagnosed with a pulmonary contusion at a local hospital. Fourteen days after the accident, posttraumatic empyema thoracis and lung abscess developed with clinical presentations of fever, productive cough and right chest pain. He was successfully treated with computed tomography-guided catheter drainage and intravenous cefotaxime. We emphasize that posttraumatic empyema thoracis and lung abscess are very rare in children, and careful follow-up for posttraumatic lung contusion is essential. Image-guided catheter drainage can be an adjunctive tool for treating selected patients, although most complicated cases of post-traumatic empyema thoracis require decortication therapy.http://www.sciencedirect.com/science/article/pii/S1607551X10700085CT-guided catheter drainagelung abscessposttraumatic empyema thoracis |
| spellingShingle | Chang-Hung Kuo I-Chen Chen Shih-Shiung Lin Ming-Chen Paul Shih Jiunn-Ren Wu Zen-Kong Dai Mei-Chyn Chao Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report Kaohsiung Journal of Medical Sciences CT-guided catheter drainage lung abscess posttraumatic empyema thoracis |
| title | Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report |
| title_full | Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report |
| title_fullStr | Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report |
| title_full_unstemmed | Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report |
| title_short | Co-existence of Posttraumatic Empyema Thoracis and Lung Abscess in a Child After Blunt Chest Trauma: A Case Report |
| title_sort | co existence of posttraumatic empyema thoracis and lung abscess in a child after blunt chest trauma a case report |
| topic | CT-guided catheter drainage lung abscess posttraumatic empyema thoracis |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X10700085 |
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