Surgical Treatment of a Tuberculous Abscess of the Chest Wall

Keum, Dong Yoon; Kim, Jae Bum; Park, Chang Kwon

doi:10.5090/kjtcs.2012.45.3.177

Cited by 18 publications

(23 citation statements)

References 15 publications

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“…13 Recurrence of infection is associated with insufficient removal of infected ribs or pleura and can occur up to 10 years after surgery, thus these patients need to be followed carefully for years. [33][34][35] Many surgeons recommend aggressive treatment including meticulous debridement and resection involving bones and cartilage. 36 This is generally followed by coverage with local musculocutaneous flaps to decrease postoperative complications and facilitate repair of pulmonary function.…”

mentioning

confidence: 99%

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Madeo¹,

Patel²,

Gebre³

et al. 2013

GERMS

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Empyema necessitatis is an empyema that spreads outside of the pleural space involving the chest wall. Tuberculosis is the most common cause. It occurs in both immunocompetent and immunocompromised patients. Due to the long latency period and the paucity of symptoms, diagnosis can be challenging. Clinicians must have a high awareness of this disease, especially in patients from endemic regions. The disease is treatable with surgical and medical interventions. Failure to diagnose can lead to grave consequences for both the individual patient and public health. This is particularly true in endemic regions where controlling the spread of TB is challenging. We report a rare presentation of pulmonary tuberculosis in an otherwise healthy 72-year-old USA immigrant from Thailand. He presented with a painless, chronic chest wall swelling with minimal systemic symptoms. Imaging revealed empyema necessitatis. Histopathology could not give a definitive diagnosis because the tissue was too necrotic. Despite negative acid-fast staining, sputum cultures were positive for tuberculosis. The case presentation is followed by a brief review of the current relevant literature. This case highlights the importance of clinical suspicion and increased awareness for this silent but serious infection.

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mentioning

confidence: 99%

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Madeo¹,

Patel²,

Gebre³

et al. 2013

GERMS

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“…Relapse of infection is due to incomplete excision of ribs or infected pleura, which can take place 10 years after the surgery. These patients should be under close observation for years [ 26 , 27 ]. In children, medical treatment without surgery can be a choice [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male

Babamahmoodi

Davoodi

Sheikholeslami

et al. 2016

Case Reports in Infectious Diseases

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Empyema necessitans (EN) is a kind of empyema that diffuses to extrapleural space and can involve chest pain. Tuberculosis (TB) is the most common cause of EN. This disease can be found in both immunocompromised and immunocompetent individuals but is usually seen in the immunocompromised individuals. Because of long duration and ambiguous symptoms of the disease, diagnosis can be hard. The disease can be treated both medically and surgically. Missing the disease can lead to undesirable effects on patient's condition and health care setting. This problem can be seen in endemic area in which controlling of TB is hard. Report of the disease in local health care center for desirable treatment and health maintenance is necessary. We explained a rare case of pulmonary TB in a patient that was healthy in other fields and just showed the minimum systemic symptoms. The patient came with a mass in lower part of back of chest cage, with a mild pain. The imaging survey showed EN. Smear and Ziehl-Neelsen stains from subcutaneous aspiration were positive for TB. This case showed importance of clinical view and awareness of this silent but serious disease in endemic area especially for TB.

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“…It is generally known that ATT for 6 months or 9 months following an operation is strongly recom-mended when treating cases of TB. This is because multifocal TB has a high recurrence rate and the treated area can become infected (6)(7)(8). Finally, it is extremely important to eliminate any residual space and spray an anti-tuberculosis medication (INH or streptomycin) onto the surgically treated regions to prevent recurrence of TB and wound infection (2,7,9,10).…”

Section: Discussionmentioning

confidence: 99%

Two Rare Cases Involving the Spread of Tuberculosis: A Tuberculous Abscess of the Chest Wall Invading the Liver by Way of the Diaphragm

Zhang

Han

et al. 2016

Intern. Med.

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We herein report two separate cases in which a tuberculous abscess of the chest wall invaded the liver by penetrating through the diaphragm. After confirming the presence of tuberculous lesions in the chest wall and liver, both patients received preoperative anti-tuberculosis (TB) medications for two weeks; after which, the lesions were surgically removed. Following surgery, both patients fully recovered and were asymptomatic, but continued to receive routine postoperative care involving anti-TB medications. Neither patient showed recurrence of TB during a 15-month follow-up period.

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Surgical Treatment of a Tuberculous Abscess of the Chest Wall

Cited by 18 publications

References 15 publications

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male

Two Rare Cases Involving the Spread of Tuberculosis: A Tuberculous Abscess of the Chest Wall Invading the Liver by Way of the Diaphragm

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