title: Contemporary empyema thoracis necessitans in an adult male caused by Staphylococcus aureus: decortication is superior to traditional under water seal intercostal tube in chronic empyema.
abstract: Empyema thoracis necessitans is a rare clinical finding nowadays. We report 55 years old Saudi male with past history of road traffic accident, poly trauma, chest surgery and paraplegia admitted for rehabilitation in Sultan Bin Abduaziz Humanitarian City (SBAHC), Riyadh, Saudi Arabia and diagnosed with empyema thoracis necessitans due to Staphylococcus aureus, treated initially with traditional thoracostomy under water seal intercostal intubation and antibiotics but subsequently required decortication.
authors.affiliation: Department of Internal Medicine, Pulmonary Division, Sultan Bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia.
authors.forename: Liaqat Ali
authors.initials: LA
authors.lastname: Chaudhry
authors.affiliation: Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Ahmed A Ba
authors.initials: AA
authors.lastname: Mousa
authors.affiliation: Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Marwan
authors.initials: M
authors.lastname: Zamzami
authors.affiliation: Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Asirvatham Alwin
authors.initials: AA
authors.lastname: Robert
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002908:Chronic Disease; D004322:Drainage; D016724:Empyema, Pleural / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013898:Thoracic Injuries / Q000150:complications; D013907:Thoracostomy / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents
keywords: Empyema; Staphylococcus aureus; paraplegis