Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis
Empyema necessitans is a rare complication of empyema and often associated with chronic, untreated infections. Here we report a case of a 28-year-old male who presented with cough, fever, pleuritic chest pain, and left chest wall mass who was found to have empyema necessitans caused by Blastomycosis...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221425092500040X |
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| author | Cameron G. Gmehlin Nicholas P. Bergeron Vaishnavi Ramesh Haris Akhtar Zelalem Temesgen |
| author_facet | Cameron G. Gmehlin Nicholas P. Bergeron Vaishnavi Ramesh Haris Akhtar Zelalem Temesgen |
| author_sort | Cameron G. Gmehlin |
| collection | DOAJ |
| description | Empyema necessitans is a rare complication of empyema and often associated with chronic, untreated infections. Here we report a case of a 28-year-old male who presented with cough, fever, pleuritic chest pain, and left chest wall mass who was found to have empyema necessitans caused by Blastomycosis dermatiditis. He was neither immunocompromised nor had exposures to soil or freshwater sources. Empyema necessitans caused by Blastomyces is rare, with only three other case reports published in the literature. We write to raise awareness of this phenomenon and highlight the importance of maintaining strong clinical suspicion for fungal etiologies of chronic constitutional and pulmonary symptoms, especially when unresponsive to empiric antibiotics. |
| format | Article |
| id | doaj-art-e1c65bdf7f194392a0de7c5c5321f9b2 |
| institution | DOAJ |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-e1c65bdf7f194392a0de7c5c5321f9b22025-08-20T02:57:32ZengElsevierIDCases2214-25092025-01-0139e0218510.1016/j.idcr.2025.e02185Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosisCameron G. Gmehlin0Nicholas P. Bergeron1Vaishnavi Ramesh2Haris Akhtar3Zelalem Temesgen4Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA; Corresponding author.Department of Internal Medicine, Mayo Clinic, Rochester, MN, USADivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USADivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USADivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USAEmpyema necessitans is a rare complication of empyema and often associated with chronic, untreated infections. Here we report a case of a 28-year-old male who presented with cough, fever, pleuritic chest pain, and left chest wall mass who was found to have empyema necessitans caused by Blastomycosis dermatiditis. He was neither immunocompromised nor had exposures to soil or freshwater sources. Empyema necessitans caused by Blastomyces is rare, with only three other case reports published in the literature. We write to raise awareness of this phenomenon and highlight the importance of maintaining strong clinical suspicion for fungal etiologies of chronic constitutional and pulmonary symptoms, especially when unresponsive to empiric antibiotics.http://www.sciencedirect.com/science/article/pii/S221425092500040XBlastomycesEmpyema NecessitansFungalPulmonaryBlastomycosis |
| spellingShingle | Cameron G. Gmehlin Nicholas P. Bergeron Vaishnavi Ramesh Haris Akhtar Zelalem Temesgen Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis IDCases Blastomyces Empyema Necessitans Fungal Pulmonary Blastomycosis |
| title | Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis |
| title_full | Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis |
| title_fullStr | Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis |
| title_full_unstemmed | Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis |
| title_short | Blasto-ing through the chest wall: Empyema necessitans due to pulmonary blastomycosis |
| title_sort | blasto ing through the chest wall empyema necessitans due to pulmonary blastomycosis |
| topic | Blastomyces Empyema Necessitans Fungal Pulmonary Blastomycosis |
| url | http://www.sciencedirect.com/science/article/pii/S221425092500040X |
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