Case Report

Tuberculous Empyema Necessitatis in a Man Infected With the Human Immunodeficiency Virus

Authors: FRANCISCO JOVER MD, LUCIO ANDREU MD, JOSÉ‐MARÍA CUADRADO MD, JUANJO MONTAGUD MD, JAIME MERINO

Abstract

&NA; Empyema necessitatis is a collection of inflammatory tissue that ruptures spontaneously through a weakness in the chest wall into surrounding soft tissues. Although empyema necessitatis can be caused by a number of infectious agents, mycobacteria are the most frequently implicated. Empyema was a much more common complication of pulmonary tuberculosis in the preantibiotic era than it is today. We describe a 22‐year‐old man with human immunodeficiency virus (HIV) infection who had tuberculous empyema necessitatis and was successfully treated with surgical debridement and antibiotic therapy.

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