Tuwo cases of empyema necessitatis--experience and management
Singh, K.K.; Chinglensana, L.; Singh, T.G.; Shuradhaja, N.; Kamei, G.
Journal of the Indian Medical Association 107(4): 249-251
2009
ISSN/ISBN: 0019-5847 PMID: 19810374 Document Number: 631178
Two patients were admitted in the paediatric ward with the complaints of fever, cough, loss of appetite and swelling of the chest wall. Both the patients were subjected to a thorough clinical examination with needle aspiration and routine investigations like haemogram, Mantoux test, chest x-ray, computerised tomography scanning of the thorax. Both the patients were diagnosed as cases of empyema necessitatis. The first case had a burst chest wall on the second day of admission and underwent chest intercostal drainage. Later on, thoracotomy, decortication and reconstruction of the chest wall was done. The second patient had got chest drainage and there was no burst chest wall. No thoracotomy was done. Both the patients were discharged after full recovery without antituberculosis therapy.