Delay in treatment causes various complications like empyema necessitatis
, septicemia, brain abscess, amyloidosis, bronchiectasis, fibrothorax, respiratory failure and death.
The diagnosis of empyema necessitatis is made and seven days after admission thoracotomy with surgical debridement is done.
The result is empyema necessitatis, a rare complication characterized by the dissection of purulent material through the soft tissues and eventually involving the skin.
Empyema necessitatis can lead to serious destruction of bones, muscle and soft tissues, particularly the ribs.
in an infant: a rare surgical disease.
In the Journal, Stallworth et al (15) report a case of CA-MRSA empyema necessitatis in an 8-month-old infant.
Methicillin-resistant staphylococcus aureus empyema necessitatis in an eight-month-old child.
due to Actinomyces odontolyticus.
Abstract: Empyema necessitatis is a rare complication of empyema characterized by a spontaneous extension of pus from the pleural space into adjacent soft tissues.
Key Words: empyema necessitatis, methicillin-resistant Staphylococcus aureus, pleural effusion, pneumonia, tuberculosis
ABSTRACT: Empyema necessitatis is a collection of inflammatory tissue that ruptures spontaneously through a weakness in the chest wall into surrounding soft tissues.
EMPYEMA NECESSITATIS is a collection of inflammatory tissue that usually extends directly from the pleural cavity into the thoracic chest wall, forming a mass in the extrapleural soft tissues, following anatomic boundaries.