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. 2024 Jul 1;2024(3):27.
doi: 10.5339/qmj.2024.27. eCollection 2024.

Methicillin-resistant Staphylococcus aureus-associated empyema necessitans in a child: A case report and a literature review

Ghada Habachi  1 , Sondes Sahli  1 , Sabrine Ben Ammar  1 , Bochra Aziza  1 , Riadh Jouini  1
Affiliations

Methicillin-resistant Staphylococcus aureus-associated empyema necessitans in a child: A case report and a literature review

Ghada Habachi et al. Qatar Med J. .

Abstract

Introduction: Empyema is a known complication of severe pleuropneumonia. In rare cases, if poorly treated, it could result in dissemination and fistulization and transformation into empyema necessitans. The manifestation may appear as a superficial abscess. However, as management highly differs, the recognition of potentially severe phenomenon is required.

Case presentation: We describe a case of empyema necessitans on a 4-year-old girl secondary to methicillin-resistant Staphylococcus aureus. It represents the sixth pediatric case reported in the literature. It was managed by open drainage and prolonged antibiotherapy. The outcome was favorable as guidelines were extracted from similar reported cases.

Conclusion: Empyema necessitans remains a rare complication with significant morbidity. Prompt diagnosis and adapted management have relied on limited literature. As such, further reports are necessary to establish proper guidelines.

Keywords: Children; MRSA; empyema necessitans.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1.
Figure 1.
Frequency of pharmacist interventions according to active medical disorders.
Figure 2.
Figure 2.
Types of interventions according to age group.
Figure 3.
Figure 3.
Classes of medications according to gender.
Figure 4.
Figure 4.
Types of interventions according to ward.
See this image and copyright information in PMC

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