ArticleBMC infectious diseases2021
Empyema necessitans with osteomyelitis of fifth rib due to Nocardia farcinica: a case report.
Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Multiple Deep Abscesses Caused by DisseminatedInfection and drug resistance · 2026Article
- Review
- Article
- Lumpy jaw caused by Nocardia farcinica in a Holstein cow.Veterinary medicine and science · 2024Article
- Empyema necessitans as a rare manifestation ofClinical case reports · 2024Article
- Empyema necessitans (EN) as a rare complication of tuberculosis - A case report.International journal of surgery case reports · 2023Article
- Necrotizing fasciitis of the chest wall caused by empyema necessitans following tuberculosis: Case report and literature review.International journal of surgery case reports · 2023Article
- Abdominal Abscesses Caused byInfection and drug resistance · 2023Article
- Diagnosis of Rare Bone Infection Caused byInfection and drug resistance · 2023Article
- Empyema necessitans due toIDCases · 2022Article
- Disseminated Nocardia farcinica involves the spinal cord: a case report and review of the literature.BMC infectious diseases · 2021Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmpyema necessitans is a rare pulmonary condition described as the presence of pus in the pleural cavity with insidious extension into the surrounding soft tissue. The common microbial aetiology of empyema necessitans is tuberculosis. Nocardiosis a cause of empyema necessitans is rarely described in the literature. We herein present a case of an 80-year-old male with empyema necessitans with osteomyelitis of rib caused by Nocardia farcinica. CASE PRESENTATION: An 80-year-old male presented with complaints of soft swelling on the left lower posterior chest wall associated with dry cough and breathlessness on exertion. Computed Tomography (CT) thorax demonstrated empyema necessitans with features of left fifth rib osteomyelitis. Radiological guided aspiration of the chest wall collection revealed Nocardia species and surgical drainage of abscess was performed. Matrix-assisted laser desorption/ionization time-of-flight-mass spectrometry (MALDI-TOF-MS) identified the isolate as Nocardia farcinica. He was treated with three-drug regimen: Trimethoprim-sulfamethoxazole, amikacin and ceftriaxone for 2 weeks. After showing improvement patient was discharged and advised to take oral Trimethoprim-sulfamethoxazole for the next 6 months with periodic follow-up.
conclusionsAs our case demonstrates, the possibility of invasive Nocardiosis should not be overlooked even in immunocompetent patients. Clinicians should aware of this rare entity while treating patients with empyema necessitans.
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