Unusual presentation of empyema necessitans: case report and review of the literature

White-Dzuro, Colin G; Assi, Patrick E.; Thomas, Harrison C.; Thayer, Wesley P.

doi:10.1007/s11748-021-01601-9

Cited by 10 publications

(16 citation statements)

References 11 publications

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“…EN is a rare and potentially life‐threatening condition that requires timely diagnosis and treatment to prevent significant morbidity and mortality 8,9 . Due to its uncommon nature, EN can be challenging to identify and manage 1,10 . EN occurs when an untreated empyema spreads through the parietal pleura and forms abscesses in the subcutaneous tissue of the anterior chest wall 11,12 .…”

Section: Discussionmentioning

confidence: 99%

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Empyema necessitans as a rare manifestation of Staphylococcus aureus

Zeinali Nezhad,

Gholami Shahrebabak,

Shahpar

2024

Clinical Case Reports

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Key Clinical MessageEmpyema necessitans (EN) is a rare complication of empyema, in which pus accumulates within the pleural space and spreads through the chest wall, leading to the formation of a subcutaneous abscess. This condition presents significant diagnostic and therapeutic challenges due to its rarity and potential for serious complications. Here, we present the case of an 8‐year‐old boy with a history of parapneumonic effusion that was incompletely treated due to a lack of fibrinolytic agent injection. He presented with fever, chills, a productive cough, and left‐sided chest pain with yellowish purulent secretions from the left chest wall. The patient was diagnosed with EN caused by Staphylococcus aureus, which has occurred due to inadequate treatment and the lack of administration of a fibrinolytic agent injection for the patient. He was treated with broad‐spectrum antibiotics, video‐assisted thoracic surgery, and a chest tube for complete drainage. The patient showed a smooth and uneventful recovery, highlighting the importance of early diagnosis and prompt treatment of EN to avoid further complications. This case report aims to increase awareness among clinicians about the importance of early recognition and appropriate management of EN to improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

“…White‐Dzuro et al 1 . reported a rare case of a 55‐year‐old male patient presenting with right shoulder and upper chest pain, diagnosed with methicillin‐sensitive S. aureus EN.…”

Section: Discussionmentioning

confidence: 99%

Empyema necessitans as a rare manifestation of Staphylococcus aureus

Zeinali Nezhad,

Gholami Shahrebabak,

Shahpar

2024

Clinical Case Reports

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“…Empyema necessitans is a rare complication of pleural space infections that dissects through the pleura into the soft tissues of the chest. 1 This case describes an unexpected complication of an empyema treated in an immunocompromised patient.…”

Section: Clinical Imagementioning

confidence: 99%

Empyema necessitans: After recent thoracostomy in an immunocompromised patient

Borges

Madama

2023

Respirology Case Reports

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“…1 It is most commonly due to an untreated parapneumonic effusion in the context of persistent pneumonia. 2,3 The most common pathogen is Mycobacterium tuberculosis followed by Actinomyces israelii. 1 Its symptoms include fever, cough, and dyspnea.…”

Section: Diagnosis: Empyema Necessitatis (Necessitans)mentioning

confidence: 99%

“…4,5 Treatment includes antimicrobial therapy and surgical intervention, such as video-assisted thoracoscopy surgery or thoracotomy. 1,3,4…”

Section: Diagnosis: Empyema Necessitatis (Necessitans)mentioning

confidence: 99%

A 76‐year‐old man with a productive cough

Markow,

Kota,

Gunalda

2024

JACEP Open

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Unusual presentation of empyema necessitans: case report and review of the literature

Cited by 10 publications

References 11 publications

Empyema necessitans as a rare manifestation of Staphylococcus aureus

Empyema necessitans as a rare manifestation of Staphylococcus aureus

Empyema necessitans: After recent thoracostomy in an immunocompromised patient

A 76‐year‐old man with a productive cough

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