Empyema thoracis presented as giant back abscess

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...

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Main Authors: Siti Hafzan Abd Karim MD, Wan Zainira Wan Zain, Mohd Nizam Mohd Hashim, Andee Dzulkarnaen Zakaria, Firdaus Hayati, Dr Gen Surg, Chiak Yot Ng, MMed
Format: Article
Language:English
English
Published: Elsevier Ltd 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/26742/3/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf
https://eprints.ums.edu.my/id/eprint/26742/2/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf
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author Siti Hafzan Abd Karim MD
Wan Zainira Wan Zain
Mohd Nizam Mohd Hashim
Andee Dzulkarnaen Zakaria
Firdaus Hayati
Dr Gen Surg
Chiak Yot Ng, MMed
author_facet Siti Hafzan Abd Karim MD
Wan Zainira Wan Zain
Mohd Nizam Mohd Hashim
Andee Dzulkarnaen Zakaria
Firdaus Hayati
Dr Gen Surg
Chiak Yot Ng, MMed
author_sort Siti Hafzan Abd Karim MD
collection UMS
description 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.
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spelling ums.eprints-267422021-04-15T06:04:26Z https://eprints.ums.edu.my/id/eprint/26742/ Empyema thoracis presented as giant back abscess Siti Hafzan Abd Karim MD Wan Zainira Wan Zain Mohd Nizam Mohd Hashim Andee Dzulkarnaen Zakaria Firdaus Hayati Dr Gen Surg Chiak Yot Ng, MMed R Medicine (General) 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. Elsevier Ltd 2021-02-24 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/26742/3/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf text en https://eprints.ums.edu.my/id/eprint/26742/2/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf 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. https://doi.org/10.1016/j.radcr.2021.02.030
spellingShingle R Medicine (General)
Siti Hafzan Abd Karim MD
Wan Zainira Wan Zain
Mohd Nizam Mohd Hashim
Andee Dzulkarnaen Zakaria
Firdaus Hayati
Dr Gen Surg
Chiak Yot Ng, MMed
Empyema thoracis presented as giant back abscess
title Empyema thoracis presented as giant back abscess
title_full Empyema thoracis presented as giant back abscess
title_fullStr Empyema thoracis presented as giant back abscess
title_full_unstemmed Empyema thoracis presented as giant back abscess
title_short Empyema thoracis presented as giant back abscess
title_sort empyema thoracis presented as giant back abscess
topic R Medicine (General)
url https://eprints.ums.edu.my/id/eprint/26742/3/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf
https://eprints.ums.edu.my/id/eprint/26742/2/Empyema%20thoracis%20presented%20as%20giant%20back%20abscess.pdf
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