Pediatric Radiology

, Volume 18, Issue 1, pp 14–19 | Cite as

CT in the evaluation of pleural versus pulmonary disease in children

  • R. H. Cleveland
  • R. P. Foglia


Post pneumonic empyema in children is the result of infection by Staphylococcus aureus in approximately 80% of cases. Approximately 93% of children with empyema respond well to treatment with appropriate antibiotics and drainage of the pleural space. We present seven children in whom such therapy failed to produce an adequate response. Computed tomography alone clearly excluded persistent pneumonia as a cause of symptoms while in all seven patients revealing an unexpectedly extensive empyema rind. This information, coupled with the lack of clinical improvement and the specific organism isolated, led to a change in clinical management. These children were infected by organisms other than Staphylococcus aureus and required surgical decortication of the fibrinous pleural rind to alleviate persistent symptoms.


Public Health Compute Tomography Pneumonia Pulmonary Disease Staphylococcus Aureus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • R. H. Cleveland
    • 1
  • R. P. Foglia
    • 2
  1. 1.Pediatric Radiology Section, Department of RadiologyMassachusetts General Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Division of Pediatric Surgery, Department of SurgeryMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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