Contemporary Empyema Necessitatis
Abstract Empyema necessitatis is defined by the extension of an empyema through the parietal pleura, into surrounding tissue. Clinical manifestations are generally subacute, representing the indolent nature of the most commonly implicated pathogens ( Mycobacterium tuberculosis and Actinomyces israel...
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| Veröffentlicht in: | The American journal of medicine 2007-04, Vol.120 (4), p.303-305 |
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| creator | Kono, Scott A., DO Nauser, Trenton D., MD |
| description | Abstract Empyema necessitatis is defined by the extension of an empyema through the parietal pleura, into surrounding tissue. Clinical manifestations are generally subacute, representing the indolent nature of the most commonly implicated pathogens ( Mycobacterium tuberculosis and Actinomyces israelii ). Treatment with antimicrobials and surgical debridement has drastically reduced mortality; however, with proper initial assessment and treatment of pulmonary infection, this rare complication can often be avoided. We describe a patient with empyema necessitatis to illustrate the importance of timely diagnosis and treatment of parapneumonic pleural effusion, and the need to consider this diagnosis in patients presenting with constitutional symptoms and a chest wall mass. |
| doi_str_mv | 10.1016/j.amjmed.2006.09.019 |
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Clinical manifestations are generally subacute, representing the indolent nature of the most commonly implicated pathogens ( Mycobacterium tuberculosis and Actinomyces israelii ). Treatment with antimicrobials and surgical debridement has drastically reduced mortality; however, with proper initial assessment and treatment of pulmonary infection, this rare complication can often be avoided. We describe a patient with empyema necessitatis to illustrate the importance of timely diagnosis and treatment of parapneumonic pleural effusion, and the need to consider this diagnosis in patients presenting with constitutional symptoms and a chest wall mass.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2006.09.019</identifier><identifier>PMID: 17398220</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Case studies ; Chest wall mass ; Empyema ; Empyema, Pleural - complications ; Empyema, Pleural - diagnosis ; Empyema, Pleural - therapy ; General aspects ; Human bacterial diseases ; Humans ; Infections ; Infectious diseases ; Internal Medicine ; Male ; Medical diagnosis ; Medical sciences ; Medical treatment ; Middle Aged ; Mortality ; Pleural effusion ; Pleural Effusion - diagnostic imaging ; Pleural Effusion - etiology ; Pulmonary infection ; Radiography ; Respiratory diseases ; Surgery ; Thoracic Surgery, Video-Assisted ; Treatment Outcome</subject><ispartof>The American journal of medicine, 2007-04, Vol.120 (4), p.303-305</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. 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Clinical manifestations are generally subacute, representing the indolent nature of the most commonly implicated pathogens ( Mycobacterium tuberculosis and Actinomyces israelii ). Treatment with antimicrobials and surgical debridement has drastically reduced mortality; however, with proper initial assessment and treatment of pulmonary infection, this rare complication can often be avoided. 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Nauser, Trenton D., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-4d0f561aacdcd213707be0d383bd03e4703961d9f3b0e3cd5c4e683d43ae3e513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Case studies</topic><topic>Chest wall mass</topic><topic>Empyema</topic><topic>Empyema, Pleural - complications</topic><topic>Empyema, Pleural - diagnosis</topic><topic>Empyema, Pleural - therapy</topic><topic>General aspects</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pleural effusion</topic><topic>Pleural Effusion - diagnostic imaging</topic><topic>Pleural Effusion - etiology</topic><topic>Pulmonary infection</topic><topic>Radiography</topic><topic>Respiratory diseases</topic><topic>Surgery</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kono, Scott A., DO</creatorcontrib><creatorcontrib>Nauser, Trenton D., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kono, Scott A., DO</au><au>Nauser, Trenton D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contemporary Empyema Necessitatis</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>120</volume><issue>4</issue><spage>303</spage><epage>305</epage><pages>303-305</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><coden>AJMEAZ</coden><abstract>Abstract Empyema necessitatis is defined by the extension of an empyema through the parietal pleura, into surrounding tissue. Clinical manifestations are generally subacute, representing the indolent nature of the most commonly implicated pathogens ( Mycobacterium tuberculosis and Actinomyces israelii ). Treatment with antimicrobials and surgical debridement has drastically reduced mortality; however, with proper initial assessment and treatment of pulmonary infection, this rare complication can often be avoided. We describe a patient with empyema necessitatis to illustrate the importance of timely diagnosis and treatment of parapneumonic pleural effusion, and the need to consider this diagnosis in patients presenting with constitutional symptoms and a chest wall mass.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17398220</pmid><doi>10.1016/j.amjmed.2006.09.019</doi><tpages>3</tpages></addata></record> |
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| subjects | Anti-Bacterial Agents - therapeutic use Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Case studies Chest wall mass Empyema Empyema, Pleural - complications Empyema, Pleural - diagnosis Empyema, Pleural - therapy General aspects Human bacterial diseases Humans Infections Infectious diseases Internal Medicine Male Medical diagnosis Medical sciences Medical treatment Middle Aged Mortality Pleural effusion Pleural Effusion - diagnostic imaging Pleural Effusion - etiology Pulmonary infection Radiography Respiratory diseases Surgery Thoracic Surgery, Video-Assisted Treatment Outcome |
| title | Contemporary Empyema Necessitatis |
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