ArticleEuropean journal of case reports in internal medicine2026
A Rare Case of Empyema Necessitans Due to Streptococcus Anginosus with Necrotizing Fasciitis and Retroperitoneal Abscesses.
Article in European journal of case reports in internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Corrections and comments
- Erratum issued
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6 authors.
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Abstract
Background: Necrotizing fasciitis (NF) is a rapidly progressive soft-tissue infection associated with high mortality even when recognized early. Empyema necessitans (EN) is an uncommon complication of pleural empyema in which purulent material extends beyond the thoracic cavity into surrounding soft tissues. Although classically linked to Case report: A 36-year-old previously healthy woman, recently treated for bilateral empyema, re-presented in severe respiratory distress and septic shock. She was found to have a foul-smelling open thigh wound, widespread soft-tissue involvement, and laboratory evidence of severe infection. Computed tomography (CT) imaging demonstrated bilateral multiloculated empyema with chest-wall extension consistent with EN, NF of the right thigh, multiple large retroperitoneal abscesses, and emphysematous cystitis (EC). She required intubation, vasopressor support, broad-spectrum antibiotics, and multiple surgical debridements. Pleural cultures grew Conclusion: This case illustrates an exceptionally rare progression of LEARNING POINTS:
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