[Spontaneous pneumothorax complicating cavitary Pneumocystis carinii pneumonia treated with pleural talc in an AIDS infected patient].
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A new case is described of a recurrent pleural effusion during the course of chronic pancreatitis. The diagnosis of the effusion was not established and a pleural talcage was performed. The pleurisy did not recur but a peritoneal effusion subsequently appeared. The potential responsibility of the pleural talcage was discussed.
A review of the literature concerning the complications of ambulatory phlebectomy using the Muller technique. Description of a complication as yet unreported, silicotic granuloma, of which the author has seen 2 cases following the inappropriate use of antibiotic powder at the end of the operation. The prevention of this benign complication, as unnecessary as it is unesthetic, involves limiting the size of incisions and avoidance of the application of medicinal powder to a surgical wound.
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Recurrent spontaneous pneumothorax and a persistent air-leakage after three days of suction therapy are two major indications for thoracoscopy. This procedure allows coagulation of blebs and cutting of pleural adhesions as well as identification of patients with large emphysematous bullae which should be treated surgically pleurectomy. Insufflation of talcum is safe and effective in achieving definitive pleurodesis.
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