Empyema thoracis presented as giant back abscess

Siti Hafzan Abd Karim MD and Wan Zainira Wan Zain and Mohd Nizam Mohd Hashim and Andee Dzulkarnaen Zakaria and Firdaus Hayati and Dr Gen Surg and Chiak Yot Ng, MMed (2021) Empyema thoracis presented as giant back abscess. R a d i o l o g y Case R e p o r t s, 16. pp. 1061-1064.

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Abstract

Empyema thoracis (ET) is defined as pus in the pleural space, either localized or involving the entire pleural cavity, due to diverse etiologies. In severe form, it may infiltrate the extra pulmonary region. Clinical guideline describes 3 stages of parapneumonic effusion before developing into an ET, namely the exudative stage, the fibrinopurulent stage, and the orga nizing/late stage.We highlight a 59-year-old gentleman who presented a back swelling mas querading as a deep-seated abscess, in which the diagnosis of ET had not been established early. The principles of treatment are treating the underlying condition such as pneumonia, pleural drainage and debridement, full re-expansion of the collapsed lung by performing chest physiotherapy, and improving nutrition. ET is a condition with a dynamic process due to diverse etiologies, either localized or involving the entire pleural cavity. The gold stan dard in diagnosing ET is the pleural aspiration of fluid from the pleural space, whereas the management of ET may include non-surgical and/or surgical treatments based on the basic principles of ET treatment.

Item Type:	Article
Keyword:	Abscess, Bacterial infection, Pleural empyema, Thoracic empyema
Subjects:	R Medicine > R Medicine (General)
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	14 Apr 2021 12:37
Last Modified:	15 Apr 2021 14:04
URI:	https://eprints.ums.edu.my/id/eprint/26742

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