ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A chest wall defect caused by empyema necessitatis due to profound malnutrition
Burçin Çelik1, Ekber Şahin2, Aydın Nadir2, Şule Karadayı3, Melih Kaptanoğlu2
1Department of Thoracic Surgery, Medicine Faculty of Ondokuz Mayıs University, Samsun
2Department of Thoracic Surgery, Medicine Faculty of Cumhuriyet University, Sivas
3Department of Emergency Medicine, Medicine Faculty of Cumhuriyet University, Sivas
DOI : 10.5606/tgkdc.dergisi.2012.035
Empyema necessitatis is defined as the extension of an empyema through the parietal pleura, into surrounding tissue. It is most commonly seen in adults. In this article, we report a five-year-old malnourished boy who presented with a chest wall defect due to empyema necessitatis. The mentally retarded patient was diagnosed with empyema necessitatis, hyponatremia, anemia and protein-energy malnutrition. The patient was placed in intensive care and treated for infection after establishing fluid balance and correcting deficiencies. Daily open wound dressing and debridement were performed. The chest cavity and intercostal spaces were closed with granulation tissue within two weeks. Empyema necessitates is quite rare in children. A delay in diagnosis may result in significant morbidity and mortality.
Keywords : Chest wall defect; empyema necessitatis; malnutrition
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