Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 3:75:103464.
doi: 10.1016/j.amsu.2022.103464. eCollection 2022 Mar.

Empyema necessitans mimicking mesothelioma; unusual presentation of active pulmonary TB in immuno-competent state

Abdirahman Mohamed Hassan Dirie  1 , Hasan Özdemir  2 , Abdinafic Mohamud Hussein  3 , Ali Mohamed Warsame  4
Affiliations
Case Reports

Empyema necessitans mimicking mesothelioma; unusual presentation of active pulmonary TB in immuno-competent state

Abdirahman Mohamed Hassan Dirie et al. Ann Med Surg (Lond). .

Abstract

•This case presented with very rare feature of active Pulmonary TB.•It denotes that Empyema Necessitans can mimick mesothelioma.•Unusual CT findings of Empyema Necessitans.•It states importance of induced sputum for TB diagnosis.•We recommend to test induced sputum for extrapulmonary tuberculosis to halt the spread of TB in the communities.

PubMed Disclaimer

Conflict of interest statement

Authors have no any financial or personal conflict that can influence this work.

Figures

Fig. 1
Fig. 1
Chest T scan without contrast, mediastinal window showing a 4 cm sized hypdoense lesion that extends to the right pectoral muscle communicating with the right anterior pleura (arrow).
Fig. 2
Fig. 2
Chest T scan without contrast, mediastinal window showing pleural based solid lesion in the right hemithorax adjacent to the vertebra (arrow). Mimicking malignancy.
Fig. 3
Fig. 3
Chest T scan without contrast, mediastinal window showing pleural based solid lesion in the right hemithorax at the level of the right diaphragmatic dome. Mimicking malignancy.
Fig. 4
Fig. 4
Chest T scan without contrast, parenchymal window showing pleural based solid lesion in the right hemithorax at the level of the crina (back faced arrow) Mimicking malignancy and mass in the pertoral area (lateral arrow).
Fig. 5
Fig. 5
Chest T scan without contrast, parenchymal window showing two pleural based solid lesions in the right hemithorax (arrows). Mimicking malignancy.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Homsi N., Kapila R. Aggregatibacter actinomycetemcomitans causing empyema necessitans and pyomyositis in an immunocompetent patient. Cureus. 2020;12(7) doi: 10.7759/cureus.9454. - DOI - PMC - PubMed
    1. Sahn S.A. Diagnosis and management of parapneumonic effusions and empyema. Clin. Infect. Dis. 2007;45(11):1480–1486. doi: 10.1086/522996. - DOI - PubMed
    1. Benaragama H.N., Pushpakumara J., Wanigasuriya K.P. Empyema necessitans due to interruption of antituberculosis treatment. Case Rep Infect Dis. 2019;2019:1–5. doi: 10.1155/2019/4810354. - DOI - PMC - PubMed
    1. Jung H.W., Cho C.R., Ryoo J.Y., et al. Actinomyces meyeri empyema: a case report and review of the literature. Case Rep Infect Dis. 2015;2015(212):1–4. doi: 10.1155/2015/291838. - DOI - PMC - PubMed
    1. Correa G., Taylor D., Vogel D., Wyncoll D. A case of broncho-cutaneous fistula secondary to tuberculosis successfully managed with awake veno-venous extracorporeal membrane oxygenation. Respir Med Case Reports. 2021;32(December 2020):101351. doi: 10.1016/j.rmcr.2021.101351. - DOI - PMC - PubMed

Publication types