title: Empyema necessitatis in an infant: a rare surgical disease.
abstract: Empyema necessitatis is a rare complication of empyema and is more commonly reported in adults. It is characterized by purulence in the pleural space extending into the overlying soft tissues. We report a rare case in an otherwise healthy 3-month-old girl who presented with right chest wall swelling and was subsequently found to have methicillin-resistant Staphylococcus aureus empyema necessitatis requiring thoracotomy with decortication.
authors.affiliation: Section of Trauma and Surgical Critical Care, Department of Surgery, Christiana Care Health System, Newark, DE 19718, USA. moore677@aol.com
authors.forename: Forrest O
authors.initials: FO
authors.lastname: Moore
authors.forename: John D
authors.initials: JD
authors.lastname: Berne
authors.forename: Thomas M
authors.initials: TM
authors.lastname: McGovern
authors.forename: Sudha
authors.initials: S
authors.lastname: Ravishankar
authors.forename: Nicholas B
authors.initials: NB
authors.lastname: Slamon
authors.forename: James H
authors.initials: JH
authors.lastname: Hertzog
mesh_terms: D016724:Empyema, Pleural / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D016106:Methicillin Resistance; D013510:Pulmonary Surgical Procedures; D011859:Radiography; D013203:Staphylococcal Infections / Q000150:complications; D013211:Staphylococcus aureus