Chronic Empyema Necessitans Perpetuated by <scp>ESBL</scp> <i>Klebsiella pneumoniae</i>
Zhong Xhen Khor
Respirology Case Reports · 2025-10
Abstract
ABSTRACT A man with prior tuberculosis developed recurrent empyema necessitans, complicated by extended‐spectrum beta‐lactamase Klebsiella pneumoniae . Despite prolonged antimicrobials, serial imaging revealed a persistent pleurocutaneous fistula and pleural thickening. This case highlights that not all empyema necessitans is tuberculous, and delayed surgical intervention may necessitate morbid procedures such as pleural window.
MeSH terms
- Medicine
- Empyema
- Surgery
- Pleural empyema
- Tuberculosis
- Fistula
- General surgery
- Pleural disease