What is the parapneumonic discharge?
The parapneumonic effusion occurs when patients with pneumonia experience fluid building in the pleural space. This is the space between the membrane that covers the lungs and the membrane that lines the thoracic cavity. The parapneumonic discharge may be the result of any type of pneumonia and affects about 40 percent of all patients with bacterial pneumonia. Most often, this condition can be successfully treated with antibiotics. In more serious cases, the drainage tube is inserted between two ribs into the pleural space. Tissues that line the thoracic cavity and cover the lungs are known as visceral pleura and parietal pleura. Normally, when the lungs are expanding and blowing during breathing, pleurae slips around another. They are helped by a small amount of lubricating pleural fluid between the two layers. This can be re -established from lung damage and inflammation that is observed in pneumonia. It may also occur after increased pressure in the blood vessels that sometimes occur in heart failure. Uncomplicated effusions are the result of a pole inflammationRied in pneumonia. The fluid in the pleural space usually consists of white blood cells and typically the discharge is solved with antibiotics.
Complicated exhausts arise when bacteria enter the pleural space. The immune system can remove the bacteria relatively quickly, but the collection of fluid can remain and require drainage. Sometimes pus is collected inside the pleural space, and this type of parapneumonic discharge is known as Empyema Thoracis.
Empyema Thoracis is diagnosed using a test known as ToraraCentez. The fluid is pumped from the pleural space by means of a needle and a thick pus the patient has an empyema. This is the most serious form of parapneumonic discharge. The risk of its development is greater in children and older people and patients whose pneumonia required hospital stay. Empyema thoracis is also more common in people with existing conditions such as diabetes, alcoholism and lung disease known asBronchiectasis.
Most patients are recovering from a parapneumonic disc, but in approximately ten percent the condition may be fatal. It is important to treat the condition as soon as possible antibiotics and drain pleural space. In several cases, surgery is necessary to remove pus and scar tissue.