Germany
Case Report
Endobronchial Volume Reduction with Lung Sealant (AerisealÃ?â??Ã?®); Post
Interventional Fever and Malaise Treated with Combined Therapy of
Broad- Spectrum Antibiotic and Supportive Prednisolone
Author(s): Falkenstern Ge R, Ingerl H and Kohlhaufl MFalkenstern Ge R, Ingerl H and Kohlhaufl M
Both our patients with advanced emphysema and hyperinflation underwent endoscopic volume reduction with endoscopic tissue sealant (AeriSeal®), collateral flow was confirmed by using the Chartis system®. Both patients experienced transient fever with elevated leukocyte counts and increased serum acute phase protein, malaise, chest discomfort and shortness of breath after the procedure. We gave both patients broad- spectrum antibiotics with supportive prednisolone 30 mg for around 7 days. They both benefited from this combined therapy and were able to recover fast. The follow- up evaluations of those two patients showed improved lung function (increased FEV 1, improved 6- minute walk test and a reduction of RV) with improved quality of life of both patients.
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DOI:
10.4172/2165-7920.1000480
Journal of Clinical Case Reports received 1295 citations as per Google Scholar report