Fine Needle Aspiration Biopsy of Mastitis Secondary to Empyema Necessitatis

Reyes, Cesar V.; Thompson, Karen; Jensen, JoAnne

doi:10.1159/000331307

Cited by 17 publications

(12 citation statements)

References 7 publications

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“…CT scan and biopsy are important for accurate diagnosis. CT is helpful in detection and characterization of empyema necessitatis while tissue and fluid for cytological diagnosis and culture can be aspirated by FNAB12,13.…”

Section: Discussionmentioning

confidence: 99%

Empyema Necessitatis in a Patient on Peritoneal Dialysis

et al. 2014

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Empyema necessitatis is a rare complication of an empyema. Although the incidence is thought to be decreased in the post-antibiotic era, immunocompromised patients such as patients with chronic kidney disease on dialysis are still at a higher risk. A 56-year-old woman on peritoneal dialysis presented with an enlarging mass on the right anterior chest wall. The chest computed tomography scan revealed an empyema necessitatis and the histopathologic findings revealed a granulomatous inflammation with caseation necrosis. The patient was treated with anti-tuberculous medication.

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Section: Discussionmentioning

confidence: 99%

Empyema Necessitatis in a Patient on Peritoneal Dialysis

et al. 2014

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“…The reported durations of antibiotics prescribed for the patient vary according to the pathogen: S. pneumonia , 10 days;2 Fusobacterium , 4 weeks;9 methicillin-resistant Staphylococcus aureus , 5 weeks;10 M. tuberculosis , 6–9 months;11 12 actinomycosis, 6–18 months;13 14 and M. abscessus , 18 months 15. In the previously reported case of empyema necessitatis due to A. fumigatus , the patient received itraconazole for more than 1 month 4.…”

Section: Discussionmentioning

confidence: 99%

Empyema necessitatis due toAspergillus fumigatus

et al. 2014

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SUMMARYWe present an extremely rare case of empyema necessitatis secondary to Aspergillus fumigatus infection. A 58-year-old woman presented to our hospital with a painful skin rash on the right thorax. Three fistulas communicating with the pleural space were found. Since she did not show a clinical improvement despite antituberculous and antibacterial treatment, we looked for other causes. Pleural fungus culture showed A. fumigatus and chest wall biopsy revealed numerous fungal hyphae. Treatment with necrotic tissue debridement and antifungal agents was successful. BACKGROUND

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“…Actinomyces is often cultured with other bacteria, such as Bacteroides , Actinobacillus , and anaerobic Streptococcus . [1][2][3][4][5] Clinically, patients with isolated pleural empyema are frequently asymptomatic. In empyema necessitatis, patients can have pleuritic chest pain worsening with deep inspiration and, rarely, a nonproductive cough.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] For the treatment of tuberculosis, the choice regimen of combined isoniazid and rifampin for 9-12 months is effective in 99% of patients, even with extrapulmonary tuberculosis. 1,3,5,8 In contrast, neoplastic empyema necessitatis, represented herein by two mesotheliomas and one small cell carcinoma, portends a grave prognosis with limited survival. Our patients survived 3, 7 and 5 months, respectively, with supportive, appropriate chemotherapeutic, and irradiation regimens.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, it has also been associated with pyogenic bacteria from lung abscess, actinomycosis, blastomycosis, carcinoma, mesothelioma, and lymphoma. [1][2][3][4][5][6][7][8] This paper deals with seven instances of chest wall mass lesion secondary to empyema necessitatis diagnosed by fine-needle aspiration biopsy (FNAB). Table 1 summarizes the clinicopathologic characteristics of the seven cases of chest wall lesion secondary to empyema necessitatis reported herein.…”

Section: Introductionmentioning

confidence: 99%

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