Empyema Necessitatis.

N Engl J Med

Fluminense Federal University, Rio de Janeiro, Brazil

Published: February 2017

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http://dx.doi.org/10.1056/NEJMicm1608914DOI Listing

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Empyema is defined as an accumulation of frank pus within the pleural cavity. Empyema necessitans is a rare complication of the pleural space infection when the existing empyema extends into adjacent structures beyond the pleural space, usually into the soft tissue of the chest wall. If severe, it can externalize to the skin.

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Article Synopsis
  • Empyema necessitatis can occur from untreated or poorly managed empyema, and the case presented involved an 11-year-old girl with pre-existing risks like overcrowding and incomplete vaccinations.
  • She exhibited symptoms of a dry cough and was diagnosed with complicated pneumonia, which led to the use of an endopleural tube and initial antibiotic treatments.
  • Despite treatment, her condition worsened, requiring additional interventions; finally, tailored antibiotics and VAC therapy resulted in significant improvement after 26 days.
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Empyema necessitatis (EN) is an exceedingly rare complication of empyema. EN refers to the expansion and progression of an empyema beyond the thoracic cavity toward the skin wall. Herein, we present the case of a man with EN and detail his clinical course.

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[Empyema necessitatis caused by Campylobacterrectus. Rapid identification by MALDI-TOF MS].

Rev Argent Microbiol

December 2022

División Interconsultas, Hospital de Clínicas José de San Martín, Departamento de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.

Empyema necessitatis (EN) is a very rare complication of a pleural empyema, in which the infection extends to adjacent soft tissues. Anaerobic bacteria are very rare etiologic agents of EN, which occurs in the course of chronic infections. We present the first case of empyema necessitatis caused by Campylobacter rectus.

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Introduction And Importance: An empyema is a buildup of pus in the pleural space and is most commonly associated with pneumonia. Streptococcus pneumonia is the most common cause of pneumonia, although staphylococcus aureus is common in developing countries. empyema necsitans is An extravasation of purulent material outside the pleural space involving the chest wall.

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