A 92-year-old patient with thoracic empyema successfully treated by CT-guided insertion of a pigtail catheter.
Kohei FujitaMasataka HiraiZentaro SaitoTakanori ItoTakuma ImakitaIssei OiOsamu KanaiHiromasa TachibanaTadashi MioPublished in: Respirology case reports (2023)
We present a case report of a 92-year-old patient with thoracic empyema, who was successfully treated via CT-guided insertion of a pigtail catheter. The advanced age of the patient often poses challenges in managing pyothorax due to limited physical activity and cognitive decline stemming from decreased activities of daily living. In instances where thoracic drainage is not feasible, the course of treatment is protracted and the prognosis is poor. Our case report exemplifies the successful treatment of pyothorax in a geriatric patient via CT-guided insertion of a pigtail catheter. We believe that this educational case serves as a testament to the fact that even the most aged patients can be successfully treated with resourcefulness.
Keyphrases
- case report
- cognitive decline
- physical activity
- computed tomography
- spinal cord
- contrast enhanced
- image quality
- ultrasound guided
- end stage renal disease
- chronic kidney disease
- dual energy
- mild cognitive impairment
- magnetic resonance imaging
- ejection fraction
- depressive symptoms
- body mass index
- spinal cord injury
- newly diagnosed
- combination therapy