Case Report on Management Of Tubercular Empyema Necessitance

Abstract

Empyema necessitans (sometimes written empyema necessitatis) is the term for an empyema that has spread beyond the pleural space and into the chest wall and surrounding soft tissues. Tuberculosis empyema necessitance is caused by an infection that is spread by inhaling a droplet. Tuberculosis mostly affects the lungs but may also affect other regions of the body. Tuberculosis is extremely infectious during the active stage of the illness and can infect a human as bacteria by inhalation. Present complaints and investigation :-The male patients 34 year old came to respiratory  medicine OPD in Acharya Vinobha Bhave Hospital Sawangi Meghe Wardha with a The main complaint was discomfort and a lump on the left side of the chest cage. Fever, prolonged cough- duration 3 week and, chest pain, dyspnea, fatigue, weight loss, night sweating since 3 week. The main Diagnosis, therapeutic intervention and outcomes: after all general, physical examination and investigation done on the base on that doctor identified a case of tuberculosis empyema necessitance, for that he taken Tablet isoniazid 150 mg BD, tablet rifampin 600 mg BD, injection streptomycin 200 mg/ml 22u/16u, tablet Ethambutol 800 mg TDS, injection Amikacin 500 mg all the treatment was taken and the result was fine.  Conclusion: He responded to both medicine and physicians counseling. His prolonged cough, chest pain, dyspnoea , fatigue are relief.