empyema


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empyema

(ĕmpē-ē`mə), persistent purulent discharge into a cavity such as the pleural space or the gallbladder. Empyema results as a complication of bacterial infections such as pneumonia and lung abscess. It is now relatively rare because of the widespread availability of therapy for the infections that precipitate the disease.

Empyema

 

the accumulation of pus in a closed body cavity or in a hollow organ if the outlet for the pus is blocked by a concrement or inflammatory infiltrate. Empyema may develop after purulent inflammation of the walls of a cavity or organ caused by shifting of the inflammatory process from the nearest organ, for example, from bone to the walls of a joint cavity in osteomyelitis. It also occurs after direct penetration of the infection into a cavity upon injury to its wall, for example, after rupture of a pulmonary abscess into the pleural cavity. The symptoms of empyema vary depending on whether the condition is acute or chronic and on the site of the infection. They may include a high fever, intoxication, pain, and change in the blood composition.

Treatment may require removal of the affected organ, for example, in suppurative appendicitis and suppurative cholecystitis. In some cases the purulent cavity is opened, pus is removed and the cavity is drained, for example, in suppurative pleurisy (thoracic empyema) or suppurative arthritis.

empyema

[‚em‚pī′ē·mə]
(medicine)
The presence of pus in the body cavity, hollow organ, or tissue space; when the term is used without qualification, it generally refers to pus in the pleural space.
References in periodicals archive ?
Mean duration of ICTD was significantly higher in Gram negative empyema group (39.
False positivity can also be due to empyema, lymphoma, malignancy, parapneumonic or collagen vascular disease.
In a multivariate logistic regression analysis, TA activation was far and away the strongest independent predictor of empyema, with an associated 15.
Results: Twenty eight patients of empyema gall bladder underwent laparoscopic cholecystectomy.
Conclusion: The failure of the PCV13 vaccine may results in a complicated pneumonia with empyema.
Parapneumonic and empyema combined, was the third common cause of pleural effusion in our study.
The objective of our study was to document occurrence of guttural pouch empyema and tympany among equines.
Our patient was found to have empyema, which is uncommon following S.
The most common causes of focal pleural thickening include: pleural plaque (often multiple), empyema, and primary or metastatic malignancy.
Conclusion: Open Drainage is associated with better outcomes as compared to fibrinolytic therapy when used as a First line treatment of empyema.
In one of the cases, the patient had empyema drained 4 months prior to presentation, though the responsible organism is not mentioned [8].
Both the groups were analogous in age and sex distribution as well as percentage of difficult cases like acute cholecytitis, empyema and mucocele.