Tuberculous empyema necessitatis in a man infected with the human immunodeficiency virus.
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.
Jover
Francisco
F
Internal Medicine Department, Hospital of San Juan, Alicante, Spain.
Andreu
Lucio
L
Cuadrado
José-María
JM
Montagud
Juanjo
J
Merino
Jaime
J
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D003131:Combined Modality Therapy; D003646:Debridement; D004654:Empyema, Tuberculous / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
D000995:Antitubercular Agents