Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma
Background. Empyema necessitans, a rare complication of pleural effusion, could result in significant morbidity and mortality in children. It is characterized by the dissection of pus through the soft tissues and the skin of the chest wall. Mycobacterium tuberculosis and Actinomyces israelii are com...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2015/108174 |
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| author | M. S. Yauba H. Ahmed I. A. Imoudu M. O. Yusuf H. U. Makarfi |
| author_facet | M. S. Yauba H. Ahmed I. A. Imoudu M. O. Yusuf H. U. Makarfi |
| author_sort | M. S. Yauba |
| collection | DOAJ |
| description | Background. Empyema necessitans, a rare complication of pleural effusion, could result in significant morbidity and mortality in children. It is characterized by the dissection of pus through the soft tissues and the skin of the chest wall. Mycobacterium tuberculosis and Actinomyces israelii are common causes but Gram negative bacilli could be a rare cause. However, there were challenges in differentiating between Mycobacterium tuberculosis and nontuberculous empyema in a resource poor setting like ours. We report a child with pleural effusion and empyema necessitans secondary to Proteus spp. infection. Methods. We describe a 12-year-old child with empyema necessitans complicating pleural effusion and highlight management challenges. Results. This case was treated with quinolones, antituberculous drugs, chest tube drainage, and nutritional rehabilitation. Conclusion. Empyema necessitatis is a rare condition that can be caused by Gram negative bacterial pathogens like Proteus species. |
| format | Article |
| id | doaj-art-1152878c8024470c8008e74f38da9b15 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-1152878c8024470c8008e74f38da9b152025-02-03T05:59:20ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/108174108174Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic DilemmaM. S. Yauba0H. Ahmed1I. A. Imoudu2M. O. Yusuf3H. U. Makarfi4Department of Paediatrics, University of Maiduguri College of Medical Sciences, Maiduguri 752106, NigeriaDepartment of Paediatrics, Federal Medical Centre, Azare 751101, NigeriaDepartment of Paediatrics, Federal Medical Centre, Azare 751101, NigeriaDepartment of Paediatrics, Federal Medical Centre, Azare 751101, NigeriaDepartment of Paediatrics, Federal Medical Centre, Azare 751101, NigeriaBackground. Empyema necessitans, a rare complication of pleural effusion, could result in significant morbidity and mortality in children. It is characterized by the dissection of pus through the soft tissues and the skin of the chest wall. Mycobacterium tuberculosis and Actinomyces israelii are common causes but Gram negative bacilli could be a rare cause. However, there were challenges in differentiating between Mycobacterium tuberculosis and nontuberculous empyema in a resource poor setting like ours. We report a child with pleural effusion and empyema necessitans secondary to Proteus spp. infection. Methods. We describe a 12-year-old child with empyema necessitans complicating pleural effusion and highlight management challenges. Results. This case was treated with quinolones, antituberculous drugs, chest tube drainage, and nutritional rehabilitation. Conclusion. Empyema necessitatis is a rare condition that can be caused by Gram negative bacterial pathogens like Proteus species.http://dx.doi.org/10.1155/2015/108174 |
| spellingShingle | M. S. Yauba H. Ahmed I. A. Imoudu M. O. Yusuf H. U. Makarfi Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma Case Reports in Pediatrics |
| title | Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma |
| title_full | Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma |
| title_fullStr | Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma |
| title_full_unstemmed | Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma |
| title_short | Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection: A Diagnostic Dilemma |
| title_sort | empyema necessitans complicating pleural effusion associated with proteus species infection a diagnostic dilemma |
| url | http://dx.doi.org/10.1155/2015/108174 |
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