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Methicillin-resistant Staphylococcus aureus-associated empyema necessitans in a child: A case report and a literature

Ghada Habachi1, Sondes Sahli1, Sabrine Ben Ammar1

  • 1Department of Pediatric Surgery "A", Children's Hospital of Tunis, Tunis, Tunisia *Email: habachighada92@gmail.com.

Qatar Medical Journal
|July 8, 2024
PubMed
Abstract

Insights

Empyema necessitans, a rare complication of pleuropneumonia, can manifest as a superficial abscess. Prompt recognition and management are crucial for favorable outcomes in pediatric cases.

Area of Science:

  • Medical Case Study
  • Pediatric Infectious Diseases
  • Pulmonology

Background:

  • Empyema is a recognized complication of severe pleuropneumonia.
  • Rarely, untreated empyema can lead to dissemination and empyema necessitans, presenting as a superficial abscess.
  • Recognizing this severe complication is vital due to differing management strategies.

Purpose of the Study:

  • To report a rare pediatric case of empyema necessitans.
  • To highlight the management of empyema necessitans secondary to methicillin-resistant Staphylococcus aureus.
  • To contribute to the limited literature for establishing clinical guidelines.

Main Methods:

  • Case presentation of a 4-year-old girl with empyema necessitans.
  • Treatment involved open drainage and prolonged antibiotic therapy.
  • Management guidelines were derived from a review of similar reported cases.

Main Results:

  • The case represents the sixth pediatric instance of empyema necessitans reported in medical literature.
  • The patient experienced a favorable outcome following the implemented treatment protocol.
  • The successful management provides insights for treating similar rare pediatric conditions.

Conclusions:

  • Empyema necessitans is a rare but serious complication associated with significant morbidity.
  • Prompt diagnosis and appropriate management are essential but rely on limited existing literature.
  • Further case reports are necessary to develop standardized clinical guidelines for empyema necessitans.
Keywords:
ChildrenMRSAempyema necessitans

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