Pleural empyema Chronic

Pleural empyema, also known as chronic pleural empyema or E. pleurae chronicum, is a serious disease characterized by chronic inflammation of the pleural cavity, which leads to the accumulation of pus within the pleural cavity. This condition is a complication of acute pleurisy or uncontrolled abscess-forming infection in the pleural cavity.

Chronic pleural empyema usually develops in patients who are immunocompromised or who have other risk factors, such as chronic lung disease, diabetes, immunodeficiency conditions, or alcoholism. It can also occur as a result of complications from chest surgery, chest trauma, or bloodborne infection.

Symptoms of chronic pleural empyema include prolonged episodes of coughing up pus or sputum, chest pain, general weakness and fatigue, loss of appetite, and mild weight loss. Patients may also experience shortness of breath, wheezing, and elevated body temperature.

The diagnosis of chronic pleural empyema is based on the patient's medical history, physical examination, laboratory blood tests, and medical imaging, including chest X-ray and CT scan.

Treatment of chronic pleural empyema includes antibiotic therapy to control the infection, drainage of pus from the pleural cavity, and elimination of the underlying source of infection, if any. In some cases, surgery may be required to remove the purulent mass or create a drainage hole to facilitate drainage.

The prognosis of chronic pleural empyema depends on many factors, including the general condition of the patient, the presence of concomitant diseases and the timeliness of initiation of treatment. With timely and adequate treatment, most patients have a positive prognosis.

In general, chronic pleural empyema is a serious disease that requires complex treatment and careful monitoring. Early seeking medical help and following your doctor's recommendations play an important role in successfully managing this condition and preventing complications.