A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia
Empyema necessitans is an exceptionally rare complication of bacterial pneumonia in the pediatric population. It occurs when the infection extends from the lung parenchyma to the chest wall by forming a fistula, which leads to infection of the surrounding soft tissue. In this case, a 13-year-old boy...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2022/8984170 |
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| author | Jeanna Auriemma |
| author_facet | Jeanna Auriemma |
| author_sort | Jeanna Auriemma |
| collection | DOAJ |
| description | Empyema necessitans is an exceptionally rare complication of bacterial pneumonia in the pediatric population. It occurs when the infection extends from the lung parenchyma to the chest wall by forming a fistula, which leads to infection of the surrounding soft tissue. In this case, a 13-year-old boy is found to have empyema necessitans caused by Actinomyces meyeri, with a preceding clue to the diagnosis being that he was treated for a superficial chest wall abscess several weeks prior to developing significant respiratory symptoms. Providers should be aware of this entity as it requires obtaining cultures to identify the appropriate pathogen and avoid treatment failure as it has implications for antibiotic choice and length of therapy. |
| format | Article |
| id | doaj-art-ec7badaf63eb4edb8c5cb4e118b40e58 |
| institution | DOAJ |
| issn | 2090-6811 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-ec7badaf63eb4edb8c5cb4e118b40e582025-08-20T03:21:24ZengWileyCase Reports in Pediatrics2090-68112022-01-01202210.1155/2022/8984170A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired PneumoniaJeanna Auriemma0Wake Forest School of MedicineEmpyema necessitans is an exceptionally rare complication of bacterial pneumonia in the pediatric population. It occurs when the infection extends from the lung parenchyma to the chest wall by forming a fistula, which leads to infection of the surrounding soft tissue. In this case, a 13-year-old boy is found to have empyema necessitans caused by Actinomyces meyeri, with a preceding clue to the diagnosis being that he was treated for a superficial chest wall abscess several weeks prior to developing significant respiratory symptoms. Providers should be aware of this entity as it requires obtaining cultures to identify the appropriate pathogen and avoid treatment failure as it has implications for antibiotic choice and length of therapy.http://dx.doi.org/10.1155/2022/8984170 |
| spellingShingle | Jeanna Auriemma A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia Case Reports in Pediatrics |
| title | A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia |
| title_full | A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia |
| title_fullStr | A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia |
| title_full_unstemmed | A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia |
| title_short | A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia |
| title_sort | boil being the clue to think beyond typical bacterial pathogens in community acquired pneumonia |
| url | http://dx.doi.org/10.1155/2022/8984170 |
| work_keys_str_mv | AT jeannaauriemma aboilbeingthecluetothinkbeyondtypicalbacterialpathogensincommunityacquiredpneumonia AT jeannaauriemma boilbeingthecluetothinkbeyondtypicalbacterialpathogensincommunityacquiredpneumonia |