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.
due to Actinomyces odontolyticus.