[Skip to Content]
[Skip to Content Landing]
Other Articles
June 23, 1945

THE MEDICAL TREATMENT OF ACUTE EMPYEMAREPORT OF FIVE CASES CURED WITH CHEMOTHERAPY AND THORACENTESES

JAMA. 1945;128(8):573-577. doi:10.1001/jama.1945.02860250019005
Abstract

The addition of sulfonamides and penicillin to our therapeutic armamentarium has changed radically the treatment of many infectious diseases. Treatment of empyema with the newer agents was tried with varying results. According to most authorities, empyema is a disease usually requiring open or continuous closed drainage. Early thoracotomy is recommended in pneumococcic empyemas. Repeated aspirations are ordinarily performed in postpneumonic streptococcic empyemas until the underlying inflammatory process subsides and the purulent exudate becomes thickened, when thoracotomy with rib resection is performed.

The mortality of empyema varies with the etiology, the virulence of the infecting organisms and the resistance of the patient. Moschcowitz's1 mortality figures for empyema in patients of all ages vary between 18.9 per cent and 45 per cent and he quotes Graham's figure for average mortality in army camps from empyema as 30.2 per cent. It is well known that in anaerobic infections following lung abscesses prognosis

First Page Preview View Large
First page PDF preview
First page PDF preview
×