Empyema Necessitans in the Setting of Methicillin-Susceptible Staphylococcus aureus Causing Pneumonia and Bacteremia
Joint Authors
Manthri, Sukesh
Bandaru, Sindhura
Sundareshan, Vidya
Prakash, Vidhya
Source
Case Reports in Infectious Diseases
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-05
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Empyema necessitans (EN) is a rare phenomenon that refers to an insidious extension of the empyema through parietal pleura and subsequent dissection into subcutaneous tissue of the chest wall.
A 29-year-old man presented to the hospital with fever and chills a few days after an inadvertent needle stick while injecting heroin.
His left forearm was warm with an area of fluctuance.
He underwent incision and drainage of the left forearm abscess with fluid submitted for Gram stain and culture.
His condition rapidly deteriorated due to sepsis, and he required transfer to the intensive care unit.
A new 4 × 3 cm area over the left pectoralis muscle had become increasingly indurated, fluctuant, and erythematous.
CT of the chest demonstrated extensive cavitary lung lesions and a large loculated left-sided pleural effusion with extension through the chest wall.
TEE revealed a 3 cm complex lesion on the superior septal leaflet of the tricuspid valve.
The patient underwent incision and drainage of the pectoralis major EN with placement of a drain.
Blood and sputum cultures grew methicillin-susceptible Staphylococcus aureus (MSSA) at which time antibiotic therapy was tailored to oxacillin.
Our case highlights a rare occurrence of EN due to MSSA in a patient with intravenous drug use (IDU) and underscores the importance of prompt diagnosis and treatment.
American Psychological Association (APA)
Bandaru, Sindhura& Manthri, Sukesh& Sundareshan, Vidya& Prakash, Vidhya. 2018. Empyema Necessitans in the Setting of Methicillin-Susceptible Staphylococcus aureus Causing Pneumonia and Bacteremia. Case Reports in Infectious Diseases،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1144538
Modern Language Association (MLA)
Bandaru, Sindhura…[et al.]. Empyema Necessitans in the Setting of Methicillin-Susceptible Staphylococcus aureus Causing Pneumonia and Bacteremia. Case Reports in Infectious Diseases No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1144538
American Medical Association (AMA)
Bandaru, Sindhura& Manthri, Sukesh& Sundareshan, Vidya& Prakash, Vidhya. Empyema Necessitans in the Setting of Methicillin-Susceptible Staphylococcus aureus Causing Pneumonia and Bacteremia. Case Reports in Infectious Diseases. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1144538
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144538