Case Studies
Unusual Presentation of Empyema Necessitans caused by Fusobacterium Infection
Author(s):
Inderjeet Singh*, Maryam AL Balushi and Iman Shaat
Empyema necessitans is a rare complication of pleural empyema with extension of the empyema
outside the pleural space into the neighbouring chest wall and surrounding soft tissues. Most
cases occur as a result of inadequately treated empyema related to necrotizing pneumonia or lung
abscess. Mycobacterium tuberculosis and Actinomyces are the most common pathogens isolated
from empyema necessitans. We are reporting in this article a rare case of Chronic Obstructive
Pulmonary Disease (COPD) patient presented with unresolving pneumonia and found to have
pleural effusion extended to the chest and abdominal wall. Images and fluid analysis confirm
the diagnosis of empyema necessitans caused by Fusobacterium infection and the patient was
improved significantly after fluid drainage and culture sensitive antibiotic treatment... Read More»
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