Empyema thoracis in a Nigerian neonate: case report and brief literature review

Authors

  • Ezinwa O. Ezuruike Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria
  • Ndubuisi K. Chukwudi Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria
  • Nathan U. Nwokeforo Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria
  • Mary-Anna Ekpe Obioma Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria

DOI:

https://doi.org/10.18203/2349-3291.ijcp20212484

Keywords:

Empyema thoracis, Neonate, Nigerian

Abstract

Empyema thoracis (ET) is a significant cause of paediatric hospital admissions and mortality but an infrequent finding in the neonatal period. Our case was a three week old male who presented with respiratory distress and had empyema thoracis. He was managed successfully with antibiotics and chest tube thoracostomy drainage.

Author Biography

Ezinwa O. Ezuruike, Department of Pediatrics, Federal Medical Centre, Umuahia, Abia State, Nigeria

DEPARTMENT OF PAEDIATRICS

SENIRO REGISTARR/SPECIALIST PAEDIATRICIAN

References

Mazumdar J, Sen S. Neonatal empyema thoracis. J Nepal Paediatr Soc. 2014;34(1):65-7.

Ahmed AEH, Yacoub TE. Empyema thoracis. Clin Med Insights Circ Respir Pulm Med. 2010;4:1-8.

Sharma S, Sharma A, Sharma M, Ghosh S. Neonatal empyema thoracis. Pediatr Oncall J. 2018;15(1):19-21.

De Benedictis FM, Kerem E, Chang AB, Colin AA, Zar HJ, Bush A. Complicated pneumonia in children. Lancet. 2020;396(10253):786-98.

Goyal V, Kumar A, Gupta M, Sandhu HP, Dhir S. Empyema thoracis in children: Still a challenge in developing countries. Afr J Paediatr Surg. 2014;11(3):206-10.

Jain M, Jain P, Mehta AP, Sikka G, Sidana P. Empyema thoracis in neonate. J Paediatr Neonatal Med. 2020;2(2):119.

Hemmati A, Arjmand R, Safari O. Idiopathic congenital non-chylous pleural effusion in neonate: a case report. J Med Cases. 2016;7(2):43-5.

Shih YT, Su PH, Chen JY, Lee IC, Hu JM, Chang HP. Common etiologies of neonatal pleural effusions. Pediatr Neonatol. 2011;52(5):251-5.

Erol S, Dilli D, Aydin B, Dinlen N, Zenciroglu A, Okumus N. Pleural empyema due to group A beta-hemolytic streptococci in a newborn: case report. Tuberk Toraks. 2013;61(2):152-4.

Diez JRV, Perez LM, Malayan GV, Cenabre MVL. Loculated empyema in a neonate successfully treated with chest tube thoracostomy and antibiotics. Respir Med Case Rep. 2020;31:101274.

Muzumdar H, Arens R. Pleural fluid. Pediatr Rev. 2007;28(12):462-4.

Brook I. Microbiology of empyema in children and adolescent. Pediatrics. 1990;85(5):722-6

Sabal S, Tiwari K, Poswal L. Congenital pneumonia with empyema at birth; a rare presentation. Int J Contemp Pediatr. 2017;4(4):1541-2.

Aliyu I, Inuwa IM. Neonatal empyema thoracis in an African child: a case report. Sifa Med J. 2015;2:18-20.

Alizadeh AM, Movahed RK, Mohammadnia M. Comparative evaluation of conventional and BACTEC methods of detection of bacterial infection. Tanaffos. 2016;15(2):112-6.

CTS Net. Fact sheet: A history of thoracic drainage: from ancient Greeks to wound sucking drummers to digital monitoring, 2015. Available at: https://www.ctsnet.org/article/history-thoracic-drainage-ancient-greeks-wound-sucking-drummers-digital-monitoring. Accessed on 30 April 2021.

Laishram N, Ngangom D. Empyema thoracis in children: a clinical study. J Evolution Med Dent Sci. 2016;5(1):46-9.

Strachan RE, Gulliver T, Martin A, McDonald T, Nixon G, Roseby R, et al. Paediatric empyema thoracis: recommendations for management. Thoracic Soc Aust New Zeal. 2011.

Mandal KC, Mandal G, Halder P, Mitra D, Debnath B, Bhattacharya M. Empyema thoracis in children: A 5-year experience in a tertiary care institute. J Indian Assoc Pediatr Surg. 2019;24(3):197-202.

Cha LM, Choi S, Kim T, Yoon SW. Intra pleural urokinase therapy in a neonate with pleural empyema. Pediatr Int. 2016;58(7):616-9.

Menon P, Kanojia RP, Rao KLN. Empyema thoracis: surgical management in children. J Indian Assoc Pediatr Surg. 2009;14(3):85-93.

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Published

2021-06-24

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Section

Case Reports