Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male

Empyema necessitans (EN) is a kind of empyema that diffuses to extrapleural space and can involve chest pain. Tuberculosis (TB) is the most common cause of EN. This disease can be found in both immunocompromised and immunocompetent individuals but is usually seen in the immunocompromised individuals...

Full description

Saved in:
Bibliographic Details
Main Authors: Farhang Babamahmoodi, Lotfollah Davoodi, Roya Sheikholeslami, Fatemeh Ahangarkani
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/4187108
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564568581210112
author Farhang Babamahmoodi
Lotfollah Davoodi
Roya Sheikholeslami
Fatemeh Ahangarkani
author_facet Farhang Babamahmoodi
Lotfollah Davoodi
Roya Sheikholeslami
Fatemeh Ahangarkani
author_sort Farhang Babamahmoodi
collection DOAJ
description Empyema necessitans (EN) is a kind of empyema that diffuses to extrapleural space and can involve chest pain. Tuberculosis (TB) is the most common cause of EN. This disease can be found in both immunocompromised and immunocompetent individuals but is usually seen in the immunocompromised individuals. Because of long duration and ambiguous symptoms of the disease, diagnosis can be hard. The disease can be treated both medically and surgically. Missing the disease can lead to undesirable effects on patient’s condition and health care setting. This problem can be seen in endemic area in which controlling of TB is hard. Report of the disease in local health care center for desirable treatment and health maintenance is necessary. We explained a rare case of pulmonary TB in a patient that was healthy in other fields and just showed the minimum systemic symptoms. The patient came with a mass in lower part of back of chest cage, with a mild pain. The imaging survey showed EN. Smear and Ziehl-Neelsen stains from subcutaneous aspiration were positive for TB. This case showed importance of clinical view and awareness of this silent but serious disease in endemic area especially for TB.
format Article
id doaj-art-c821103d7a1243d687439bda804f46b6
institution Kabale University
issn 2090-6625
2090-6633
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-c821103d7a1243d687439bda804f46b62025-02-03T01:10:45ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/41871084187108Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent MaleFarhang Babamahmoodi0Lotfollah Davoodi1Roya Sheikholeslami2Fatemeh Ahangarkani3Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranEmpyema necessitans (EN) is a kind of empyema that diffuses to extrapleural space and can involve chest pain. Tuberculosis (TB) is the most common cause of EN. This disease can be found in both immunocompromised and immunocompetent individuals but is usually seen in the immunocompromised individuals. Because of long duration and ambiguous symptoms of the disease, diagnosis can be hard. The disease can be treated both medically and surgically. Missing the disease can lead to undesirable effects on patient’s condition and health care setting. This problem can be seen in endemic area in which controlling of TB is hard. Report of the disease in local health care center for desirable treatment and health maintenance is necessary. We explained a rare case of pulmonary TB in a patient that was healthy in other fields and just showed the minimum systemic symptoms. The patient came with a mass in lower part of back of chest cage, with a mild pain. The imaging survey showed EN. Smear and Ziehl-Neelsen stains from subcutaneous aspiration were positive for TB. This case showed importance of clinical view and awareness of this silent but serious disease in endemic area especially for TB.http://dx.doi.org/10.1155/2016/4187108
spellingShingle Farhang Babamahmoodi
Lotfollah Davoodi
Roya Sheikholeslami
Fatemeh Ahangarkani
Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
Case Reports in Infectious Diseases
title Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
title_full Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
title_fullStr Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
title_full_unstemmed Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
title_short Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male
title_sort tuberculous empyema necessitatis in a 40 year old immunocompetent male
url http://dx.doi.org/10.1155/2016/4187108
work_keys_str_mv AT farhangbabamahmoodi tuberculousempyemanecessitatisina40yearoldimmunocompetentmale
AT lotfollahdavoodi tuberculousempyemanecessitatisina40yearoldimmunocompetentmale
AT royasheikholeslami tuberculousempyemanecessitatisina40yearoldimmunocompetentmale
AT fatemehahangarkani tuberculousempyemanecessitatisina40yearoldimmunocompetentmale