Purulent Pleurisy

Description, Symptoms, Therapy.

Purulent pleurisy meaning

  • It is a collection of infection in pleural caused by piogene germs. Since the introduction of antibiotics, the epimus was much less common.

From the etiologic point of view, tuberculous purulent pleurisy is in the majority of cases secondary to pulmonary tuberculosis. The propagation pathway is lymphatic or direct through the opening of an outbreak in the pleura. It may also occur as a complication of the therapeutic pneumothorax.

There is also a primary location of tuberculosis in the pleura, known as cold lung abscess.

Non-tuberculous purulent pleurisy is a starting point from a pulmonary infection, the most common germs being pneumococcus, streptococcus, staphylococcus.


The onset of the disease is variable, being affected by the primary illness. The purulent pleurisy symptoms are suggested by fever, severe headache, rebellious chest pain, or unhealed pneumonia.


It is based on the presence of pulmonary pneumopathy or tuberculosis, to which the thoracic pain does not yield and signs of deep discharge: high remitting fever, sweating and sweating, paleness, anorexia.


The purulent pleurisy treatment is medical and surgical.

Medical treatment of purulent pleurisy consists of puncture of the pleural cavity, evacuation of pus, washing of the cavity with heated isotonic chlorosodium solution and introduction of a chemotherapeutic association.

General antibiotics are added: Tuberculostatics in tuberculous forms and, in special cases, corticotherapies or intrapleural proteolytic ferments are added.

Surgical treatment is indicated in cases resistant to medical treatment.

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