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To describe the clinical and radiological characteristics of a series of infants presenting with pleural empyema. A retrospective review of medical records of premature infants with pleural empyema was carried out. Twenty-five infants presented with pleural empyema (15 boys and 10 girls), gestational age between 24 and 32 weeks. The most common initial symptoms were respiratory distress and/or tachypnea (n=20, 80%). All of them developed a pleural effusion during their hospitalization, which persisted in 17 cases (68%). The chest X-ray showed signs of a parenchymal pulmonary disease in 15 cases (60%), of a lobar pneumonia in 5 cases (20%), of a pleural effusion in 6 cases (24%) and of a pneumothorax in 5 cases (20%). Pleural fluid analysis was performed in 15 cases (60%). Pleural fluid culture was positive in 14 cases (70%). Twelve infants required surgical intervention and two of them also received chest tube drainage. In five of them, the primary focus of the empyema was the lung. There was one death. The chest X-ray and the pleural fluid analysis were predictive of the need of surgical intervention. Early diagnosis is important for the prognosis of this type of pleural empyema.Metformin attenuates ovarian hyperstimulation syndrome in mice and human granulosa cells: JAK2/STAT3 signaling plays a crucial role.
Metformin is a biguanide drug which is commonly used for treatment of type 2 diabetes mellitus. It has recently been demonstrated to have beneficial effects in ovarian stimulation-associated ovarian hyperstimulation syndrome (OHSS). However, the mechanisms involved in these effects remain largely unknown. In the present study, metformin inhibited the ovarian hyperstimulation-induced ovulation and decreased the steroidogenesis. Meanwhile, metformin inhibited the expression of luteinizing hormone/human chorionic gonadotropin receptors and down-regulated steroidogenesis via suppression of the JAK2/STAT3 signaling. These results indicate that metformin may be a novel treatment to