Spontaneous pneumothorax associated with Pneumocystis carinii pneumonia. Successful treatment with talc pleurodesis.
نویسندگان
چکیده
Spontaneous pneumothoraces occur in patients with acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia. However, treatment with tube insertion and tetracycline sclerosis often fails to prevent recurrence. We present a single case of such a patient successfully treated with talc sclerosis.
منابع مشابه
Talc pleurodesis during videothoracoscopy for Pneumocystis carinii pneumonia-related pneumothorax. A new technique.
Pneumocystis carinii pneumonia in AIDS patients represents a growing problem for chest physicians. For thoracic surgeons, spontaneous pneumothorax and recurrent or persistent pneumothoraces can complicate this disease, requiring surgical intervention. Minimally invasive videothoracoscopy has now become a standard form of surgery for these patients, and we present a technique of talc insufflatio...
متن کاملTalc pleurodesis in pleuropulmonary diseases treatment.
AIM To determine the efficiency and safety of talc pleurodesis in treating the malignant pleural effusion and recurrent spontaneous pneumothorax. METHODS The study included 54 patients with malignant pleural effusion and recurrent spontaneous pneumothorax, who underwent talc pleurodesis using the "talc slurry" method of pleural talc obliteration. RESULTS Pleurodesis was successful in 52 (96...
متن کاملThoracoscopic findings in spontaneous pneumothorax in AIDS.
Six patients with the acquired immunodeficiency syndrome (AIDS) who suffered eight spontaneous pneumothoraces between January 1990 and January 1993 underwent videothoracoscopy. The predominant macroscopic findings, found in four patients on five occasions, were white-yellow nodules dispersed throughout the lung surface. In addition, in one patient, these lesions were associated with multiple sm...
متن کاملTreatment of complicated spontaneous pneumothorax by simple talc pleurodesis under thoracoscopy and local anaesthesia.
BACKGROUND Complicated (recurring or persistent) spontaneous pneumothorax requires treatment either by talc pleurodesis with bullae electrocoagulation or, more aggressively, by thoracotomy or video-assisted thoracoscopic surgery. However, the relative merits of bullectomy, pleurectomy, and pleurodesis have not yet been established in the treatment of spontaneous pneumothorax. METHODS The comp...
متن کاملLong-term follow-up of thoracoscopic talc pleurodesis for primary spontaneous pneumothorax.
The aim of the present study was to evaluate the long-term outcome of patients with primary spontaneous pneumothorax treated with talc pleurodesis. A follow-up study was undertaken in all patients with primary spontaneous pneumothorax who underwent talc pleurodesis for prolonged air leak or recurrence using thoracoscopy. In total, 112 patients underwent pleurodesis and follow-up data was obtain...
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عنوان ژورنال:
- Chest
دوره 101 4 شماره
صفحات -
تاریخ انتشار 1992