PDF(Pubmed)
Abstract：
UNASSIGNED: TB is a well-recognized cause of pulmonary infection. Empyema Necessitans is a rare complication of untreated empyema, mainly caused by mycobacterium tuberculosis. It mainly affects immunocompromised individuals.
UNASSIGNED: We present a case of 28 years old gentleman, Sudanese, with intermittent fever, non-productive cough, weight loss and night sweats. Chest X-ray then CT chest revealed a large right pleural collection invading the chest wall. Chest tube was inserted, fluid analysis was taken, and a bronchoscopy was done. A diagnosis of Empyema Necessitans was confirmed and patient was started on anti-TB regimen with clinical improvement.
UNASSIGNED: Empyema Necessitans is a severe disease, complicating pulmonary tuberculosis. Diagnosis can be a challenge. Surgical and medical approaches are both crucial in the treatment of EN. This case highlights the importance of early recognition and diagnosis of this rare but aggressive condition particularly in TB endemic area.
UNASSIGNED: We present a case of 28 years old gentleman, Sudanese, with intermittent fever, non-productive cough, weight loss and night sweats. Chest X-ray then CT chest revealed a large right pleural collection invading the chest wall. Chest tube was inserted, fluid analysis was taken, and a bronchoscopy was done. A diagnosis of Empyema Necessitans was confirmed and patient was started on anti-TB regimen with clinical improvement.
UNASSIGNED: Empyema Necessitans is a severe disease, complicating pulmonary tuberculosis. Diagnosis can be a challenge. Surgical and medical approaches are both crucial in the treatment of EN. This case highlights the importance of early recognition and diagnosis of this rare but aggressive condition particularly in TB endemic area.
摘要：
■TB是公认的肺部感染原因。脓胸Necessitans是未经治疗的脓胸的罕见并发症，主要由结核分枝杆菌引起。它主要影响免疫功能低下的个体。
■我们提出一个28岁的绅士案例,苏丹人,间歇性发烧，非生产性咳嗽,减肥和盗汗。胸部X光检查，然后胸部CT显示右侧胸膜大量侵入胸壁。插入了胸管，进行了流体分析，做了支气管镜检查。确诊为需要脓胸，患者开始接受抗结核治疗方案，临床有所改善。
■脓胸是一种严重的疾病，并发肺结核。诊断可能是一个挑战。手术和医学方法在EN的治疗中都至关重要。该病例强调了早期识别和诊断这种罕见但侵袭性疾病的重要性，特别是在结核病流行地区。
■我们提出一个28岁的绅士案例,苏丹人,间歇性发烧，非生产性咳嗽,减肥和盗汗。胸部X光检查，然后胸部CT显示右侧胸膜大量侵入胸壁。插入了胸管，进行了流体分析，做了支气管镜检查。确诊为需要脓胸，患者开始接受抗结核治疗方案，临床有所改善。
■脓胸是一种严重的疾病，并发肺结核。诊断可能是一个挑战。手术和医学方法在EN的治疗中都至关重要。该病例强调了早期识别和诊断这种罕见但侵袭性疾病的重要性，特别是在结核病流行地区。
