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The Journal of Pediatric Infectious Diseases and Immunology > Vol.33 No.1 contents > Abstract

Article in Japanese

Three cases of pleural empyema after surgery managed in pediatric hospital

Kohei KUSUMOTO1), Masashi KASAI2)

We report 3 cases of pediatric pleural empyema who developed postoperatively. Case 1 developed after tracheoplasty performed for congenital tracheal stenosis and methicillin-resistant Staphylococcus aureus (MRSA) was detected. Case 2 and 3 developed after balloon dilation performed for postoperative stenosis of congenital esophageal atresia. Methicillin-sensitive S. aureus and Streptococcus mitis in Case 2 and Streptococcus pneumoniae and α-streptococcus (species unidentifiable) in Case 3 was detected. In postoperative pleural empyema, the route of surgical invasion is important for estimating the causative organism. Moreover, we should select an antimicrobial agent considering the risk of MRSA from the viewpoint of surgical site infection.

1) Department of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital
2) Department of Infectious Disease, Hyogo Prefectural Kobe Children's Hospital

Key words pleural empyema, pediatric, postoperative, Staphylococcus aureus
Received November 19, 2019
Accepted January 7, 2021

33 (1):47─50,2021