Unusual presentation of empyema necessitans: case report and review of the literature.

Autor: White-Dzuro CG; Vanderbilt University School of Medicine, Nashville, TN, USA. colin.g.white-dzuro@vanderbilt.edu.; Department of Plastic Surgery, Vanderbilt University Medical Center, D-4207 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37212, USA. colin.g.white-dzuro@vanderbilt.edu., Assi PE; Department of Plastic Surgery, Vanderbilt University Medical Center, D-4207 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37212, USA., Thomas HC; Vanderbilt University School of Medicine, Nashville, TN, USA., Thayer WP; Department of Plastic Surgery, Vanderbilt University Medical Center, D-4207 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37212, USA.
Jazyk: angličtina
Zdroj: General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2021 Jun; Vol. 69 (6), pp. 1026-1030. Date of Electronic Publication: 2021 Feb 09.
DOI: 10.1007/s11748-021-01601-9
Abstrakt: Empyema necessitans is characterized by the extension of a pleural empyema into adjacent structures beyond the pleural space. Although rare, it adds significant complications to patients already suffering from pleural empyema. Standard of surgical care has yet to be characterized or described in the literature. Here, we describe the unusual presentation of a 55-year-old man with methicillin-sensitive Staphylococcus aureus empyema necessitans and outline both our surgical intervention and thoracic reconstruction. We present our case's presentation, management, and outcome. We then review the literature and describe a multidisciplinary approach for management. Empyema necessitans is a very rare and morbid condition requiring urgent intervention to promote optimal outcomes.
Databáze: MEDLINE
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