NON

TRAUMATIC EMPYEMA TRAUMATIC

THORACIC SEPSIS EXTRATHORACIC

SEPSIS IATROGENIC
Empyema is also called pyothorax or purulent NON-IATROGENIC
pleuritis. It’s a condition in which pus gathers in the
area between the lungs and the inner surface of the
chest wall. This area is known as the pleural space.
PULMONARY OSTEOMELITIS LUNG RESECTION,
Pus is a fluid that’s filled with immune cells, dead STABBING GUNSHOT
DISEASE OESOPHAGEAL TEARS,
cells, and bacteria. Pus in the pleural space can’t be WOUNDS ETC.
PARACENTESIS, THORACIS,
coughed out. Instead, it needs to be drained by a
LIVER BIOPSY,
needle or surgery. Empyema usually develops after
pneumonia, which is an infection of the lung tissue.
MEDIASTINITIS
PNEUMONIA. TB.
BRONCHIECTASIS. LUNG
ABCESS
SUBRAHERANIC ABCESS,
STERNUM DIAGNOSIS
HEPATIC ABCESS
VERTEBRAE RIBS
Chest X-rays and CT scans will show whether or not there’s fluid
Treatment
in the pleural space.

Treatment is aimed at removing
the pus and fluid from the pleura
and treating the infection.
Antibiotics are used to treat the
underlying infection. The specific
type of antibiotic depends on
what type of bacteria is causing
the infection.
An ultrasound of the chest will show the amount of fluid and its
Video-assisted thoracic surgery:
exact location.
Your surgeon will remove the
affected tissue around your lung Blood tests can help check your white blood cell count, look for
Thoracostomy: In this
and then insert a drainage tube or the C-reactive protein, and identify the bacteria causing the
procedure, your doctor will
use medication to remove the infection. White cell count can be elevated when you have an
insert a plastic tube into your
fluid. They will create three small infection.
chest between two ribs. Then
incisions and use a tiny camera
they’ll connect the tube to a During a thoracentesis, a needle is inserted through the back of
called a thoracoscope for this
suction device and remove the your ribcage into the pleural space to take a sample of fluid. The
process.
fluid. They may also inject fluid is then analyzed under a microscope to look for bacteria,
Open decortication: In this
medication to help drain the protein, and other cells.
surgery, your surgeon will peel
fluid.
away the pleural peel.