DISEASES OF THE RESPIRATORY SYSTEM : PLEURISY PURULENT (PLEURITIS PURULENTA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Purulent pleurisy may be encysted and neocommunism. Most often purulent pleurisy is a complication of pneumonia, lung abscess, bronchiectasis, actinomycosis, lung cancer, Echinococcus, cavernous forms of tuberculosis, complicated by secondary infection. Sometimes purulent pleurisy joins subphrenic the abscess, parametrico, purulent processes of female genital sphere, disintegrating cancer of the stomach.
Physical symptoms of purulent pleurisy are the same as in exudative.
The chest wall of the affected side swollen. Sometimes there is a ripple of the upper intercostal spaces in consequence of the transmission of pulsation of the heart (empyema pulsans).
Empyema has a tendency to osmawani and to breakthroughs in the bronchus, trachea, esophagus, mediastinum, pericardium.
In the first case often comes a cure after allocating a large amount of homogeneous fluid pus, in the other—death. When breakthrough in the subcutaneous tissue is formed abscess (empyema necessitatis) with subsequent fistula. Long for purulent pleurisy leads to cachexia, amyloid-lipoid nephrosis and the death.
Purulent pleurisy is installed trial puncture.
Serious; the possibility of complete recovery.