We present a case of empyema necessitans due to aspergillus in a young child. The incidence of deep fungal mycoses in children, especially in developing countries is not known. There is paucity of data and access to diagnostics is usually limited. Our patient had received treatment for pulmonary tuberculosis which is endemic in Kenya for four months before diagnosis was made. We present this case to highlight the importance of considering alternative diagnosis when there is non-response to anti-tuberculous therapy.
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http://dx.doi.org/10.11604/pamj.2019.34.86.19469 | DOI Listing |
Cureus
November 2024
Medicine, Colombo South Teaching Hospital, Kalubowila, LKA.
Empyema necessitans (EN) is a rare condition characterized by the accumulation of pus in the extra-thoracic soft tissue due to decompression of intrathoracic empyema by extending through the parietal pleura and chest wall usually by . This is a report of a patient with poorly controlled diabetes mellitus type 2 presenting with high-grade fever, productive cough, dyspnoea and a left-sided pleuritic chest pain complicated by a left pleural effusion. It further extended to extra-thoracic soft tissue space without fistulation to the external environment.
View Article and Find Full Text PDFCMAJ
December 2024
Departments of Medicine (Lu-Song, Dhawan), and of Radiology and Diagnostic Imaging (Raubenheimer), University of Alberta, Edmonton, Alta.
Int J Surg Case Rep
January 2025
Department of General Surgery, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania; Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.
Introduction: Although it is primarily a pulmonary disease, extra-pulmonary TB has been reported in 15 % of TB patients and it can affect any body system including the pleura. Pleural tuberculosis can result into empyema thoracis which can further complicate if left untreated to empyema necessitans. This requires high index of suspicious for prompt medical and surgical management.
View Article and Find Full Text PDFCureus
September 2024
Thoracic Surgery, Hull University Teaching Hospital, Hull, GBR.
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.
View Article and Find Full Text PDFEmpyema necessitans is a very rare and morbid complication of pleural empyema. It is defined as the extension of pleural infection to the chest wall and surrounding soft tissues. Our case highlights an unusual presentation of empyema necessitans in a 29-year-old man.
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