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Negative pressure wound therapy was useful in treating empyema with bronchopleural fistula

Harada, A.; Nakamura, Y.; Fukumori, K.; Nagata, T.; Iguro, Y.

Kyobu Geka. Japanese Journal of Thoracic Surgery 63(12): 1039-1043

2010

ISSN/ISBN: 0021-5252
PMID: 21066844
Document Number: 641333
We report a case for whom negative pressure wound therapy (NPWT) was applied for empyema with bronchopleural fistula. The patient was a 64-year-old man with a history of gastric resection and diabetes visited our hospital with chief complaints of fever and respiratory failure. In spite of conservative treatment after being diagnosed as empyema, bronchopleural fistula developed. In order to manage the pyothorax, the bronchopleural fistula was closed with endobronchial Watanabe spigot, and fenestration was subsequently performed, however the infection control and obliteration of the empyema cavity could not be achieved. NPWT with continuous irrigation was therefore chosen, and the methicillin-resistant Staphylococcus aureus (MRSA) disappeared and a marked obliteration of the empyema cavity was observed in 3 weeks after initiation of NPWT. Although the patient died of another illness, NPWT with continuous irrigation was useful in treating empyema with bronchopleural fistula.

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