Tuberculous empyema necessitatis in a man infected with the human immunodeficiency virus.

Abstract

Empyema necessitatis is a collection of inflammatory tissue that ruptures spontaneously through a weakness in the chest wail into surrounding soft tissues. Although empyema necessitatis can be caused by a number of infectious agents, mycobacteria are the most frequently implicated. Empyema was a much more common complication of pulmonary tuberculosis in the preantibiotic era than it is today. We describe a 22-year-old man with human immunodeficiency virus (HIV) infection who had tuberculous empyema necessitatis and was successfully treated with surgical debridement and antibiotic therapy.

• Authors: Francisco Jover, Lucio Andreu, José-María Cuadrado, Juanjo Montagud, Jaime Merino
• Journal: Southern medical journal (South Med J) Vol. 95 Issue 7 Pg. 751-2 (Jul 2002) ISSN: 0038-4348 [Print] United States
• PMID: 12144082 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antitubercular Agents

Topics

• AIDS-Related Opportunistic Infections (diagnosis, therapy)
• Adult
• Antitubercular Agents (therapeutic use)
• Bronchoalveolar Lavage Fluid (microbiology)
• Combined Modality Therapy
• Debridement
• Empyema, Tuberculous (diagnosis, therapy)
• Humans
• Immunocompromised Host
• Male
• Mycobacterium tuberculosis (isolation & purification)
• Tomography, X-Ray Computed