A Case of Empyema necessitans: An uncommon presentation of Empyema
- Resource Type
- Authors
- Sushanta Bhanja; Aritra Guha; Arnab Samanta; Hasen Ali Mia; Nitish Kumar
- Source
- International Journal of Pediatrics, Vol 5, Iss 7, Pp 5351-5355 (2017)
- Subject
- Key Words :Empyema
ICD
lcsh:RJ1-570
lcsh:Pediatrics
respiratory system
Empyema necessitans
bacterial infections and mycoses
respiratory tract diseases
- Language
- English
- ISSN
- 2345-5055
2345-5047
IntroductionEmpyema is an accumulation of pus in the pleural space. Empyema necessitans occurs when pus extends through the parietal pleura into the surrounding tissues.Case ReportWe present here a 4 month old babywith severe respiratory distress and anassociated huge boggy swelling over the left side of his chest and back. Evaluation revealed pus accumulated in the pleural space which extended to the subcutaneous tissue; a case of empyema necessitans an uncommon occurrence with empyema. Early intercostal drain(ICD) insertion helped to save the baby.ConclusionEmpyema can sometimes extend beyond the pleural space into the surrounding tissue leading to empyema necessitans. Early and prompt intervention is necessary which could significantly reduce morbidity and mortality.