Case of Empyema Necessitans Present with Discharging Sinus.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 6
Abstract
Background Empyema is defined as a collection of pus in the pleural space. When the pus extends through the parietal pleura into adjacent tissue, it is termed as empyema necessitans.[1] Empyema necessitans is a rare long-term complication of poorly or uncontrolled empyema thoracis characterized by the dissection of pus through the soft tissues and skin of the chest wall. The pus collection bursts and communicates with the exterior, forming a fistula between the pleural cavity and the skin.[2] TB is the most common cause of EN. EN usually presents as a single mass with or without pain on chest wall; diagnosis is based on clinical view and radiologic imaging and confirmation is by smear, culture, and PCR from fluid aspiration.Pleural effusion with empyema necessitans is usually caused by Mycobacterium tuberculosis and Actinomyces israelii [3].The most common nontubercular etiological agent is Staphylococcus. Other microbial causes include Pneumococci, Escherichia coli, Pseudomonas, Klebsiella, and anaerobes.[3] Pleural fluids are usually diagnostic and help in the choice of appropriate antibiotics.
Authors and Affiliations
Devendra Yadav
Keywords
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