Dramatic Improvement of Adult Patients with Post Tuberculosis Pulmonary Pneumatocele and Bad Pulmonary Function after Surgical Intervention.

Document Type : Case Report

Author

Thoracic Surgeon, Cardiothoracic Surgery Department, Faculty of Medicine, Minia University, Egypt. Madinah Cardiac Center, King Fahad Hospital, Madinah, KSA.

Abstract

Pulmonary pneumatoceles (PCs) are thin-walled, air-filled cysts that develop within pulmonary parenchyma. PCs are usually seen in the lung after infection, trauma. In case of infection, as a complication of acute pneumonia, caused by Staphylococcus aureus, and are more frequently in infants and children. Adult tuberculous pulmonary pneumatoceles are seldom reported.   PCs are usually asymptomatic. Large PCs may compress adjacent lung with mediastinal shift causing respiratory or cardiovascular symptoms.  Surgical intervention is only indicated when PCs cause cardiopulmonary compromise or rupture into the pleural space or unresolved infection.

Keywords


  1. Ajpai J, Kant S, Verma AK, Bajaj DK. Spontaneous lung pneumatocele in an adult with community-acquired pneumonia. The Egyptian J Intern Med. 2017, 29:141–143.
  2. FujiiA, MoultonS. VATS management of an enlarging multicysticpneumatocele. JPerinatol. 2008; 28: 445–447.
  3. Wan-Hsiu L, Sheng-Hsiang L, Tsu-Tuan W. Pneumatocele formation in adult pulmonary tuberculosis during antituberculous chemotherapy: a case report. Cases Journal. 2009;doi: 10.4076/1757-1626-2-8570.
  4. DiBardino DJ, Espada R, Seu P, Goss JA. Management of complicated pneumatocele. J ThoracCardiovascSurg 2003; 126:859- 861.
  5. Puri MM, Srivastava A,  Jain AK,  Behera Pneumatocele formation in adult Escherichia colipneumonia. Ann Thorac Med. 2011; 6(2): 101–102.
  6. Emeka B, Chinenye N ,George O,Kelechi E. Okonta, Andrew E. Dongo, Adewuyi M, et al. Tension Pneumatocele due to Enterobactergergoviae Pneumonia: A Case Report. Case Report in Medicine.org/10.1155/2012/808630.
  7. Sang H, Yeon T, Kyung D, Kyoung Y,   Jong H , Sung H , et al. Infected Pneumatocele Following Anaerobic Pneumonia in Adult. Case reports. Korean J Intern Med. 2005; 20(4):343-345.
  8. Danesh N, Navaee Sedighi Z, Beigoli S, Sharifi-Rad A, Saberi MR, Chamani J. Determining the binding site and binding affinity of estradiol to human serum albumin and holo-transferrin: fluorescence spectroscopic, isothermal titration calorimetry and molecular modeling approaches. J Biomol Struct Dyn. 2018; 36(7):1747-1763.
  9. Chamani J, Moosavi-Movahedi AA, Saboury AA, Gharanfoli M, Hakimelahi GH. Calorimetric indication of the molten globule-like state of cytochrome c induced by n-alkyl sulfates at low concentrations. J Chem Thermodyn. 2003; 35(2):199-207.
  10. Cheung N, James A, Kumar R. Case Report Large Traumatic Pneumatocele in a 2-Year-Old Child. Case Reports in Pediatrics.org/10.1155/2013/940189.
  11. Suhail A, ,Hartmut G,Peter C. Necrotizing pneumonia complicated by early and late pneumatoceles.Can Respir J. 2008; 15(3): 129–132.
  12. Mustafa I, Ali Ç , Polat k , Oğuzhan Ö , Ümit Ç, Fazil O, et al. Pneumatoceles in post-pneumonic empyema: an algorithmic approach. J Pediatrics Surg.2005:40; 1111-7.  doi: 10.1016/j.jpedsurg.2005.03.048
  13. Terence M, Richard G, Michael R, Chin T. Pneumatocele Formation in adult pneumonia. Chest.1987; 92 (4): 717 – 720.