Domm Jakob M, Langley Joanne M
Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Pediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
J Assoc Med Microbiol Infect Dis Can. 2021 Sep 30;6(3):236-240. doi: 10.3138/jammi-2020-0053. eCollection 2021 Sep.
Empyema necessitans (EN) is a rare but dangerous complication of a lower respiratory tract infection. The diagnosis can be difficult to make and therefore delayed. We describe a case of a child with an atypical presentation of EN. He was afebrile and without chest pain and presented with a palpable chest wall mass after a history of recent respiratory infection. The threshold of suspicion for EN should be low, and it must be suspected in all children with a chest wall mass and recent history of respiratory infection.
坏死性脓胸（EN）是下呼吸道感染一种罕见但危险的并发症。其诊断可能困难，因而会被延误。我们描述一例坏死性脓胸表现不典型的患儿。他无发热及胸痛，在近期有呼吸道感染病史后出现可触及的胸壁肿块。对于坏死性脓胸的怀疑阈值应较低，所有有胸壁肿块且近期有呼吸道感染病史的儿童都必须怀疑有该病。
