death rate of 40%–70%, whereas the mortality rate among otherwise healthy young patients varies from 2%–15%, depending on the severity and duration of their infection. Patients with inadequately drained empyemas often die [6]. With the advent of antibiotic therapy and advances in surgical technology, the clinical syndrome of empyema necessitans is rarely seen in current clinical practice, usual...

Empyema necessitans (EN) is a rare long-term sequela of poorly or untreated empyema thoracis, characterized by the dissection pus through soft tissues and skin chest wall, ultimately forming fistula between pleural cavity. We herein present male patient in his late 30s, known case tuberculosis (TB) on anti-tubercular therapy (ATT) under directly observed treatment short-course (DOTS), who recen...

TOPIC: Imaging TYPE: Medical Student/Resident Case Reports INTRODUCTION: Empyema necessitans is a rare complication of bacterial pneumonia that occurs when empyema invades the parietal pleura and extends into surrounding chest wall; if left unchecked it will eventually drain through skin. Here we present case in previously healthy 25 year-old man caused by MRSA pneumonia, visualized with bedsid...

BACKGROUND There are several studies reporting high success rates for surgical and nonsurgical treatments of empyema separately. The aim of current retrospective cohort study is to find the best treatment in low socio-economic areas. MATERIAL AND METHODS A total of 149 patients were treated in the referring hospital from January 2002 to December 2008. The current retrospective cohort study wa...