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2013 ; 2013
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Empyema necessitans: very late complication of pulmonary tuberculosis
#MMPMID24326441
Gomes MM
; Alves M
; Correia JB
; Santos L
BMJ Case Rep
2013[Dec]; 2013
(ä): ä PMID24326441
show ga
Empyema necessitans is a rare clinical finding nowadays. We report the case of a
patient admitted in our ward for investigation of an unknown onset anterior chest
wall mass, with no accompanying signs or symptoms. It is noteworthy that the
patient had had pulmonary tuberculosis submitted to thoracoplasty more than 60
years before. Thoracic MRI showed a large heterogeneous mass, with a thick wall
and internal septations located at the right anterior chest wall, as well as a
heterogeneous content inside the right pleural cavity, with direct communication
between both. An aspirative puncture of both masses was performed, with positive
cultures for Mycobacterium tuberculosis, thus leading to the diagnosis of pleural
tuberculosis with anterior chest wall empyema necessitans. A drain was inserted
and antibiotics started. This case draws our attention to a very rare
complication of pulmonary tuberculosis and its surgical treatment, though it
aroused many decades after primary infection.