Bronchopleural fistula complicating group A beta-haemolytic streptococcal pneumonia. Use of a Fogarty embolectomy catheter for selective bronchial blockade.
case_report · Level V
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Abstract
A 36-year-old woman developed severe group A Streptococcal pneumonia, complicated by a bronchopleural fistula, ARDS and multi-organ failure. We describe the use of selective middle lobe bronchus blockade, with a Fogarty embolectomy catheter, to localise and control the air leak. This allowed effective mechanical ventilation and oxygenation on intensive care and during right middle lobectomy. The patient made a prolonged, but full recovery.
Medical subject headings
- Bronchial Fistula
- Catheterization
- Fistula
- Pleural Diseases
- Pneumonia, Bacterial
- Streptococcal Infections
- Streptococcus pyogenes