Parapneumonic effusions and empyema in hospitalized children

A retrospective review of 227 cases

B. J. Freij, H. Kusmiesz, J. D. Nelson, G. H. McCracken

Research output: Contribution to journalArticle

117 Citations (Scopus)

Abstract

A pleural effusion associated with pneumonia, lung abscess or bronchiectasis is termed parapneumonic. Effusions vary considerably with respect to amount, color, cellular content, biochemical composition and other characteristics. Empyema, by definition, is the presence of gross pus in the pleural cavity and represents an effusion containing great numbers of polymorphonuclear leukocytes and fibrin. Although several reports have dealt with various aspects of empyema in children, considerable ambiguity still exists as to the 'proper' approach to diagnosis and management of patients with effusion or empyema. Differing definitions of empyema and personal preferences in therapeutic approach to such patients contribute to these difficulties. This report summarizes the experience with 227 children with parapneumonic effusions and empyema managed at this institution over a 19-year period. General guidelines for diagnosis and management of such patients are also reviewed.

Original languageEnglish (US)
Pages (from-to)578-591
Number of pages14
JournalPediatric Infectious Disease
Volume3
Issue number6
StatePublished - 1984

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Empyema
Hospitalized Child
Lung Abscess
Pleural Cavity
Bronchiectasis
Suppuration
Pleural Effusion
Fibrin
Pneumonia
Neutrophils
Color
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Parapneumonic effusions and empyema in hospitalized children : A retrospective review of 227 cases. / Freij, B. J.; Kusmiesz, H.; Nelson, J. D.; McCracken, G. H.

In: Pediatric Infectious Disease, Vol. 3, No. 6, 1984, p. 578-591.

Research output: Contribution to journalArticle

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