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Surgical treatment of pleural empyema in Coronavirus disease 19 patients: the Southern Switzerland experience.
Tessitore, Adele; Patella, Miriam; Giuliani, Mauro; Theologou, Thomas; Freguia, Stefania; Minerva, Eleonora Maddalena; Rugel, Gregor; Cafarotti, Stefano.
  • Tessitore A; Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland.
  • Patella M; Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland.
  • Giuliani M; Division of General Surgery, Ospedale Regionale di Locarno, Locarno, Switzerland.
  • Theologou T; Department of Cardiac Surgery, Cardiocentro Ticino, Lugano, Switzerland.
  • Freguia S; Clinical Cytopathology Service, Histopathology Service, Locarno, Switzerland.
  • Minerva EM; Clinical Cytopathology Service, Histopathology Service, Locarno, Switzerland.
  • Rugel G; Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland.
  • Cafarotti S; Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland.
Interact Cardiovasc Thorac Surg ; 32(3): 367-370, 2021 04 08.
Article in English | MEDLINE | ID: covidwho-939568
Semantic information from SemMedBD (by NLM)
1. Empyem PROCESS_OF C0030705
Subject
Empyem
Predicate
PROCESS_OF
Object
C0030705
2. Pleural effusion disorder COEXISTS_WITH Patient Physiological Condition
Subject
Pleural effusion disorder
Predicate
COEXISTS_WITH
Object
Patient Physiological Condition
3. Empyema, Pleural PROCESS_OF Patients
Subject
Empyema, Pleural
Predicate
PROCESS_OF
Object
Patients
4. Pleural effusion disorder COEXISTS_WITH Patient Physiological Condition
Subject
Pleural effusion disorder
Predicate
COEXISTS_WITH
Object
Patient Physiological Condition
ABSTRACT
We report the first surgical series of patients developing pleural empyema after severe bilateral interstitial lung disease in confirmed severe acute respiratory syndrome coronavirus 2 infection. The empyema results in a complex medical challenge that requires combination of medical therapies, mechanical ventilation and surgery. The chest drainage approach was not successful to relieve the symptomatology and to drain the excess fluid. After multidisciplinary discussion, a surgical approach was recommended. Even though decortication and pleurectomy are high-risk procedures, they must be considered as an option for pleural effusion in Coronavirus disease-positive patients. This is a life-treating condition, which can worsen the coronavirus disease manifestation and should be treated immediately to improve patient's status and chance of recovery.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiration, Artificial / Drainage / Empyema, Pleural / COVID-19 Type of study: Etiology study Limits: Aged / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Interact Cardiovasc Thorac Surg Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: Icvts

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiration, Artificial / Drainage / Empyema, Pleural / COVID-19 Type of study: Etiology study Limits: Aged / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Interact Cardiovasc Thorac Surg Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: Icvts