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Chronic Empyema Necessitans Perpetuated by ESBLKlebsiella pneumoniae
1International Medical University Clinical Campus Department of Medicine Seremban Malaysia.
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.
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