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Empyema Necessitans: The Hidden Danger In Young Lungs

Abdulaziz Alshamlan
Dr. Department of Acute Medicine, The Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, DY12HQ, UK
Vikram Anumokonda
Dr. Department of Critical care Medicine, The Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, DY12HQ, UK.

Abstract

We present a case of a young male patient who initially presented with left-sided chest pain associated with symptoms of chest infection on background of being type 1 diabetic. As he developed septicaemia secondary to empyema, he underwent an incision and drainage procedure for the chest wall abscess. Intraoperatively, a fistulous connection between the abscess and the pleural space was identified. Subsequent CT imaging post-surgery confirmed the diagnosis of Empyema Necessitans. This case study aims to highlight the importance of considering Empyema Necessitans as a differential diagnosis in young patients presenting with chest infections especially on background of chronic diseases like diabetes.

Keywords

Chest wall infection, Diabetes, Empyema, Empyema Necessitans, Immunocompromised, Young Patient.

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