18/05/2023 Hospitals, Clinics
What is empyema?
Empyema is a collection of pus in between the lung and chest wall formed by two pleural layers, visceral and pariteal.
It is caused by some infective process of the lung which leads to an accumulation of pus in the pleural space. The commonest cause of empyema in our country is Tuberculosis. It however can also be a complication of pneumonias, trauma with collection of blood inside the chest that gets infected. Repeated aspiration without asepsis of pleural fluids in cases of recurrent pleural effusion can also lead to infection of the fluid leading to empyema. Also empyema can happen after lung or chest surgery also.
What are the symptoms and diagnosis of empyema?
Dry cough or Cough with sputum
Fever and chills
General discomfort, malaise
Unintentional weight loss
Chest pain, which worsens on deep inhalation (inspiration)
History and clinical examination
Pleural fluid Gram stain and culture, Microbiological tests for TB
CECT scan of chest
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