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Pediatric pleural empyema: one of the management challenges in children of Democratic Republic of Congo

Kibwe Alphonse Simbi, Valentin Kazadi, Louis-Marie Aissi, François Mbahewaka Katsuva, Numbi Oscar Luboya, Léon Tshilolo, Vincenzo Zanardo
  • Kibwe Alphonse Simbi
    Abano Terme General Hospital, Abano Terme (PD), Italy; Centre Hospitalier Monkole, Kinshasa, Congo, the Democratic Republic of the | simbialphonse@libero.it
  • Valentin Kazadi
    Centre Hospitalier Monkole, Kinshasa, Congo, the Democratic Republic of the
  • Louis-Marie Aissi
    Centre Hospitalier Monkole, Kinshasa, Congo, the Democratic Republic of the
  • François Mbahewaka Katsuva
    University of Graben, Butembo, Congo, the Democratic Republic of the
  • Numbi Oscar Luboya
    Department of Paediatrics, University of Lubumbashi, Lubumbashi, Congo, the Democratic Republic of the
  • Léon Tshilolo
    Centre Hospitalier Monkole, Kinshasa, Congo, the Democratic Republic of the
  • Vincenzo Zanardo
    Abano Terme General Hospital, Abano Terme (PD), Italy

Abstract

Empyema is a serious complication characterized by purulent exudate and bacteria in the pleural space, which may progress to necrosis, cavitations or fistulas in the thoracic cavity. It remains a major challenge throughout low-income countries. Objectives were to emphasize the role of basic medical and radiologic approach and to resolve a severe lung complication when facilities are inadequate. A five-year-old female was referred with distress respiratory to the Emergency Unit of Monkole, a large public-private missionary hospital in Kinshasa, Congo. Chest X-ray showed a massive empyema that was resolved by immediate drainage and antibiotiocs. Results were rapid improvement and discharge after 3 weeks. A classic medical and imaging approach is a winning return in low-income countries. According to the British Thoracic Society guidelines, pleural effusion with compromising respiratory function can be managed by drainage and antibiotics.

Keywords

Pleural empyema; Management; Challenge; Paediatric; Low income country

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Submitted: 2016-02-17 11:07:36
Published: 2017-06-23 11:21:07
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