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Successful thoracoscopic treatment of severe bilateral empyema in an infant

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Abstract

We report a case of rapid progression of bilateral pyothorax exacerbated by viral influenza in an infant. The patient, an 11-month-old girl, was diagnosed with viral influenza, and oseltamivir phosphate was administered. However, after only 4 days the influenza was followed by rapid progression of methicillin-susceptible Staphylococcus aureus (MSSA) pneumonia and pyothorax, resulting in disseminated intravascular coagulation. Because thoracentesis and antibiotics could not control the pyothorax, a serious condition, we performed bilateral video-assisted thoracoscopic decortication on the eighth hospital day. She recovered with excellent lung expansion and was discharged on the 37th hospital day.

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Correspondence to Kei Tanaka MD.

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Tanaka, K., Mizobuchi, T., Fujiwara, T. et al. Successful thoracoscopic treatment of severe bilateral empyema in an infant. Gen Thorac Cardiovasc Surg 55, 130–133 (2007). https://doi.org/10.1007/s11748-006-0083-5

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  • DOI: https://doi.org/10.1007/s11748-006-0083-5

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