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
Related Articles
- EP ID EP591390
- DOI -
- Views 114
- Downloads 0
Pregnancy Complicated By Chronic Liver Disease
Introduction: Pregnancy is unusual in women with severe chronic liver disease due to hypothalamic pituitary dysfunction which may result in infertility. A favourable outcome for the pregnancy is possible but is dependent...
Distribution Pattern of ABO Grouping and Rh Typing Blood Donors – A Study from Blood Bank Mahatma Gandhi Hospital, Bhilwara.
Background- There are many blood group systems to classify red blood cells based on the presence of inherited antigens on their surface. Methods- Present study was conducted at Blood bank of a Mahatma Gandhi Hospital, Bh...
Comparative Study of Duration of analgesia And Haemodynamic Changes in Epidural Anaesthesia with Lignocaine (2%) With Lignocaine (2%) Plus Clonidine for Lower Abdominal and Lower Limb Surgeries.
Background: Epidural anaesthesia is one of the most common regional anaesthetic techniques used for lower abdominal and lower limb surgeries. Epidural anaesthesia provides effective surgical anaesthesia a...
A study on prevalence of myopia and causative factors among primary and middle school students in Hyderabad, India.
Shortsightedness (Myopia) is a growing concern among school going children in India and developing East Asian countries. 27% (1893 million) people are affected with myopia worldwide with 2.8% of them are high myopic as p...
Propofol and Thiopentone for total intravenous anaesthesia: A comparative study.
Background: To evaluate the safety and efficacy of propofol, to measure recovery times and to compare the return of psychomotor and cognitive function with thiopentone. Desigen of the study was a prospective randomized s...