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Empyema thoracis presented as giant back abscess

Empyema thoracis (ET) is defined as pus in the pleural space, either localized or involving the entire pleural cavity, due to diverse etiologies. In severe form, it may infiltrate the extra- pulmonary region. Clinical guideline describes 3 stages of parapneumonic effusion before developing into a...

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Main Authors: Siti Hafzan Abd Karim, MD, Wan Zainira Wan Zain, MMed, Mohd Nizam Mohd Hashim, MMed, Andee Dzulkarnaen Zakaria, MMed, Firdaus Hayati, DrGenSurg, Chiak Yot Ng, MMed
Format: Article
Language:English
English
Published: Elsevier 2021
Subjects:
QP501-801 Animal biochemistry
RC705-779 Diseases of the respiratory system
Online Access:https://eprints.ums.edu.my/id/eprint/36471/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/36471/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/36471/
https://doi.org/10.1016/j.radcr.2021.02.030
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spelling my.ums.eprints.364712023-08-17T05:41:12Z https://eprints.ums.edu.my/id/eprint/36471/ Empyema thoracis presented as giant back abscess Siti Hafzan Abd Karim, MD Wan Zainira Wan Zain, MMed Mohd Nizam Mohd Hashim, MMed Andee Dzulkarnaen Zakaria, MMed Firdaus Hayati, DrGenSurg Chiak Yot Ng, MMed QP501-801 Animal biochemistry RC705-779 Diseases of the respiratory system Empyema thoracis (ET) is defined as pus in the pleural space, either localized or involving the entire pleural cavity, due to diverse etiologies. In severe form, it may infiltrate the extra- pulmonary region. Clinical guideline describes 3 stages of parapneumonic effusion before developing into an ET, namely the exudative stage, the fibrinopurulent stage, and the orga- nizing/late stage. We highlight a 59-year-old gentleman who presented a back swelling masquerading as a deep-seated abscess, in which the diagnosis of ET had not been established early. The principles of treatment are treating the underlying condition such as pneumonia, pleural drainage and debridement, full re-expansion of the collapsed lung by performing chest physiotherapy, and improving nutrition. ET is a condition with a dynamic process due to diverse etiologies, either localized or involving the entire pleural cavity. The gold standard in diagnosing ET is the pleural aspiration of fluid from the pleural space, whereas the management of ET may include non-surgical and/or surgical treatments based on the basic principles of ET treatment. Elsevier 2021-02 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/36471/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/36471/2/FULL%20TEXT.pdf Siti Hafzan Abd Karim, MD and Wan Zainira Wan Zain, MMed and Mohd Nizam Mohd Hashim, MMed and Andee Dzulkarnaen Zakaria, MMed and Firdaus Hayati, DrGenSurg and Chiak Yot Ng, MMed (2021) Empyema thoracis presented as giant back abscess. Radiology Case Reports, 16. pp. 1061-1064. ISSN 19300433 https://doi.org/10.1016/j.radcr.2021.02.030
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic QP501-801 Animal biochemistry
RC705-779 Diseases of the respiratory system
spellingShingle QP501-801 Animal biochemistry
RC705-779 Diseases of the respiratory system
Siti Hafzan Abd Karim, MD
Wan Zainira Wan Zain, MMed
Mohd Nizam Mohd Hashim, MMed
Andee Dzulkarnaen Zakaria, MMed
Firdaus Hayati, DrGenSurg
Chiak Yot Ng, MMed
Empyema thoracis presented as giant back abscess
description Empyema thoracis (ET) is defined as pus in the pleural space, either localized or involving the entire pleural cavity, due to diverse etiologies. In severe form, it may infiltrate the extra- pulmonary region. Clinical guideline describes 3 stages of parapneumonic effusion before developing into an ET, namely the exudative stage, the fibrinopurulent stage, and the orga- nizing/late stage. We highlight a 59-year-old gentleman who presented a back swelling masquerading as a deep-seated abscess, in which the diagnosis of ET had not been established early. The principles of treatment are treating the underlying condition such as pneumonia, pleural drainage and debridement, full re-expansion of the collapsed lung by performing chest physiotherapy, and improving nutrition. ET is a condition with a dynamic process due to diverse etiologies, either localized or involving the entire pleural cavity. The gold standard in diagnosing ET is the pleural aspiration of fluid from the pleural space, whereas the management of ET may include non-surgical and/or surgical treatments based on the basic principles of ET treatment.
format Article
author Siti Hafzan Abd Karim, MD
Wan Zainira Wan Zain, MMed
Mohd Nizam Mohd Hashim, MMed
Andee Dzulkarnaen Zakaria, MMed
Firdaus Hayati, DrGenSurg
Chiak Yot Ng, MMed
author_facet Siti Hafzan Abd Karim, MD
Wan Zainira Wan Zain, MMed
Mohd Nizam Mohd Hashim, MMed
Andee Dzulkarnaen Zakaria, MMed
Firdaus Hayati, DrGenSurg
Chiak Yot Ng, MMed
author_sort Siti Hafzan Abd Karim, MD
title Empyema thoracis presented as giant back abscess
title_short Empyema thoracis presented as giant back abscess
title_full Empyema thoracis presented as giant back abscess
title_fullStr Empyema thoracis presented as giant back abscess
title_full_unstemmed Empyema thoracis presented as giant back abscess
title_sort empyema thoracis presented as giant back abscess
publisher Elsevier
publishDate 2021
url https://eprints.ums.edu.my/id/eprint/36471/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/36471/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/36471/
https://doi.org/10.1016/j.radcr.2021.02.030
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score 13.211869

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