Isolated empyema necessitans in a renal transplant recipient: A case report

Anand Chellappan; Ravi Kushwaha; Hira Lal; Raghunandan Prasad; Priyank Yadav; Awadhesh Kumar; Amit Gupta

doi:10.1016/j.ijt.2016.04.001

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CASE REPORT

Year : 2016 \| Volume : 10 \| Issue : 2 \| Page : 46-48

Isolated empyema necessitans in a renal transplant recipient: A case report Anand Chellappan¹, Ravi Kushwaha¹, Hira Lal², Raghunandan Prasad², Priyank Yadav³, Awadhesh Kumar⁴, Amit Gupta¹ ¹ Department of Nephrology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rai Bareilly Road, Lucknow 226014, Uttar Pradesh, India ² Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rai Bareilly Road, Lucknow 226014, Uttar Pradesh, India ³ Department of Urology and Renal Transplant, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rai Bareilly Road, Lucknow 226014, Uttar Pradesh, India ⁴ Department of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rai Bareilly Road, Lucknow 226014, Uttar Pradesh, India Correspondence Address: Hira Lal Room No: 35, Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rai Bareilly Road, Lucknow 226014, Uttar Pradesh India Source of Support: None, Conflict of Interest: None DOI: 10.1016/j.ijt.2016.04.001

Empyema necessitans is a rare sequel of untreated pleural space infection and is most commonly secondary to tuberculosis. Isolated tuberculous empyema necessitans in a renal transplant recipient is extremely rare. It is an important differential diagnosis of a chest mass in renal transplant recipient. Early identification and treatment prevents progression and morbidity. We hereby report a 62-year-old male renal transplant recipient who presented with classical features of tubercular empyema necessitans and was managed with antitubercular therapy and tube thoracostomy drainage.



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