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empyema/obesity

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Maxillary empyema and obesity.

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Nocardiosis is a life-threatening infection usually affecting immunocompromised patients. Very rarely it presented with intracranial abscesses and pleuro-parenchymal infections. We herein report a very challenging case of a 34-year-old obese and diabetic man affected by disseminated nocardiosis with

Major respiratory adverse events after laparascopic gastric banding surgery for morbid obesity.

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BACKGROUND Laparoscopic adjustable gastric banding surgery has become one of the most common restrictive surgical procedures for treatment of morbid obesity worldwide. Although short-term respiratory complications are well known, long-term data is scarce. We investigated the manifestations of major
A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg/m2. Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left

Differentiation of Lung Cancer, Empyema, and Abscess Through the Investigation of a Dry Cough.

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An acute dry cough results commonly from bronchitis or pneumonia. When a patient presents with signs of infection, respiratory crackles, and a positive chest radiograph, the diagnosis of pneumonia is more common. Antibiotic failure in a patient being treated for community-acquired pneumonia requires

Thoracic empyema after laparoscopic adjustable gastric banding. A rare complication.

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The laparoscopic adjustable gastric banding (LAGB) is a popular therapeutic option for morbid obesity. It is a minimally invasive procedure. The reported early morbidity is low and there are only few reports of respiratory complications. We report a case of empyema and lung abscess due to diaphragm

Laparoscopic bariatric surgery can be safe for treatment of morbid obesity in patients older than 60 years.

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BACKGROUND Previous reports have questioned the safety of bariatric surgery in older patients. The aim of this study was to quantify the perioperative morbidity and mortality of older patients undergoing laparoscopic bariatric procedures at our institution. METHODS A retrospective chart review of

Thoracic Complications of Bariatric Surgeries: Overlooked Entities.

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Bariatric surgeries are increasingly performed to treat obesity worldwide. The currently available literature on these surgeries mainly focuses on their abdominal complications, giving less attention to their thoracic ones. Hence, the present work aimed to highlight the thoracic

Intrathoracic application of vacuum wound therapy following thoracic surgery.

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OBJECTIVE The VAC system (vacuum-assisted wound closure) is an established noninvasive active therapy to promote the healing of difficult wounds that fail to heal with conventional treatment after cardiac surgery. We report our initial experience of the intrathoracic application of the VAC system

Laparoscopic cholecystectomy for complicated gallstone disease.

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After performing selectively 25 laparoscopic cholecystectomies (LC) to determine the place of LC in the management of complicated gallstones, all patients presenting with gallstones were evaluated by the authors for LC. Eighty-six consecutive patients were evaluated and 84 were studied. Follow-up in

The association between body mass index and severe biliary infections: a multivariate analysis.

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BACKGROUND Obesity has been associated with worse infectious disease outcomes. It is a risk factor for cholesterol gallstones, but little is known about associations between body mass index (BMI) and biliary infections. We studied this using factors associated with biliary infections. METHODS A
The incidence of invasive infections caused by group B Streptococcus (GBS) continues to increase in the United States. Although diabetes is a key risk factor for invasive GBS, the influence of long-term glycemic control is not well characterized; other risk factors and mortality rates

[Treatment of refractory sternotomy wound].

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OBJECTIVE To investigate the therapeutic effect of infected incision wounds after sternotomy by using different reconstructive methods. METHODS From December 1997 to December 2006, 13 patients (8 males, 5 females; age, 28-72 years averaged 52 years) with infected incision wounds after sternotomy

Cholelithiasis and fitness for work at sea.

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The aim of the present study was to investigate the occurrence of cholelithiasis in the occupationally active population of seamen and deep-sea fishermen aged 20-60, to assess the impact of environmental and dietary factors upon its course and to evaluate the fitness for work at sea of persons with

Laparoscopic versus open treatment of patients with acute cholecystitis.

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OBJECTIVE The studies published so far mention a high rate of complication and conversion in laparoscopic surgical treatment of acute cholecystitis. Considering the relatively high conversion rate in cases of acute cholecystitis, it is necessary to pre-operatively estimate the chance of successful
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