Most Read Articles
Elvira Manzano, 17 Oct 2017
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
2 days ago
Drinking coffee, whether caffeinated or decaffeinated, is associated with a reduced risk of cardiovascular disease (CVD) and ischaemic heart disease (IHD) mortality in patients with a prior myocardial infarction (MI), according to a recent study.
3 days ago
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Tristan Manalac, 3 days ago
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.

Thoracic ultrasound may aid evaluation of complicated pneumonia

Elaine Soliven
15 Dec 2016

Thoracic ultrasound (US) may be a useful tool to further evaluate pulmonary complications in complicated pneumonia, especially if chest X-ray results are inconclusive, according to a presentation at the 21st Congress of the Asian Pacific Society of Respirology (APSR 2016) held in Bangkok, Thailand.

Thoracic US is a noninvasive diagnostic examination that can better detect pleural fluid septations with greater sensitivity than computed tomography (CT) scanning, said Dr Jirawadee Yodying from Body Intervention, Department of Radiology, Siriraj Hospital, Mahidol University.

Thoracic US is safe and inexpensive. It is portable, and can be carried out at bedside or in an ICU setting with no radiation exposure, particularly in children, said Yodying. “There is no radiation exposure as compared to CT.”

The British Thoracic Society (BTS) guidelines recommend US to confirm the presence of pleural fluid collection and guide thoracocentesis or drain placement, adding that chest CT should not be performed routinely. [Thorax 2005;60(Suppl I):i1–i21]

However, chest CT should be considered if a different diagnosis, such as malignancy, is suspected, according to the Canadian Paediatric Society. [Paeditr Child Health 2011;16:425-427]

Chest X-ray is usually the recommended imaging workup for an initial evaluation of the patient with suspected complication. Posteroanterior (PA) or anteroposterior (AP) view of the chest X-ray should be taken for investigation of pleural effusion and empyema, according to the researchers.

If the chest X-ray is inconclusive, then further imaging with thoracic US is strongly recommended for high-quality evidence of pleural fluid. [Clin Infect Dis 2011;53:e25-e76]

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Most Read Articles
Elvira Manzano, 17 Oct 2017
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
2 days ago
Drinking coffee, whether caffeinated or decaffeinated, is associated with a reduced risk of cardiovascular disease (CVD) and ischaemic heart disease (IHD) mortality in patients with a prior myocardial infarction (MI), according to a recent study.
3 days ago
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Tristan Manalac, 3 days ago
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.