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  • Title: Successful thoracoscopic treatment of severe bilateral empyema in an infant.
    Author: Tanaka K, Mizobuchi T, Fujiwara T, Saito T, Hiramoto R, Iwai N.
    Journal: Gen Thorac Cardiovasc Surg; 2007 Mar; 55(3):130-3. PubMed ID: 17447512.
    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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