Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Empyema Necessitatis in a Patient on Peritoneal Dialysis

  • Moh, In Ho (Department of Internal Medicine, Hallym Kidney Research Institute) ;
  • Lee, Young-Ki (Department of Internal Medicine, Hallym Kidney Research Institute) ;
  • Kim, Hee Joon (Department of Internal Medicine, Hallym Kidney Research Institute) ;
  • Jung, Hyun Yon (Department of Internal Medicine, Hallym Kidney Research Institute) ;
  • Park, Jae Hyun (Department of Internal Medicine, Hallym Kidney Research Institute) ;
  • Ahn, Hye-Kyung (Department of Pathology, Hallym University College of Medicine) ;
  • Noh, Jung-Woo (Department of Internal Medicine, Hallym Kidney Research Institute)
  • Received : 2014.01.29
  • Accepted : 2014.05.30
  • Published : 2014.08.29
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Abstract

Empyema necessitatis is a rare complication of an empyema. Although the incidence is thought to be decreased in the post-antibiotic era, immunocompromised patients such as patients with chronic kidney disease on dialysis are still at a higher risk. A 56-year-old woman on peritoneal dialysis presented with an enlarging mass on the right anterior chest wall. The chest computed tomography scan revealed an empyema necessitatis and the histopathologic findings revealed a granulomatous inflammation with caseation necrosis. The patient was treated with anti-tuberculous medication.

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References

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