{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T21:59:30Z","timestamp":1773698370175,"version":"3.50.1"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>\n                  <jats:italic>Empyema necessitans<\/jats:italic> is a rare clinical finding nowadays. We report the case of a patient admitted in our ward for investigation of an unknown onset anterior chest wall mass, with no accompanying signs or symptoms. It is noteworthy that the patient had had pulmonary tuberculosis submitted to thoracoplasty more than 60\u2005years before. Thoracic MRI showed a large heterogeneous mass, with a thick wall and internal septations located at the right anterior chest wall, as well as a heterogeneous content inside the right pleural cavity, with direct communication between both. An aspirative puncture of both masses was performed, with positive cultures for <jats:italic>Mycobacterium tuberculosis<\/jats:italic>, thus leading to the diagnosis of pleural tuberculosis with anterior chest wall <jats:italic>empyema necessitans<\/jats:italic>. A drain was inserted and antibiotics started. This case draws our attention to a very rare complication of pulmonary tuberculosis and its surgical treatment, though it aroused many decades after primary infection.<\/jats:p>","DOI":"10.1136\/bcr-2013-202072","type":"journal-article","created":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T07:17:45Z","timestamp":1386659865000},"page":"bcr2013202072","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["<i>Empyema necessitans<\/i>: very late complication of pulmonary tuberculosis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Manuel Mendes","family":"Gomes","sequence":"first","affiliation":[{"name":"Medicina Interna, Centro Hospitalar e Universit\u00e1rio de Coimbra\u2014p\u00f3lo HUC, Coimbra, Portugal"}]},{"given":"M\u00e1rcia","family":"Alves","sequence":"additional","affiliation":[{"name":"Medicina Interna, Centro Hospitalar e Universit\u00e1rio de Coimbra\u2014p\u00f3lo HUC, Coimbra, Portugal"}]},{"given":"Jos\u00e9 Bernardes","family":"Correia","sequence":"additional","affiliation":[{"name":"Medicina Interna, Centro Hospitalar e Universit\u00e1rio de Coimbra\u2014p\u00f3lo HUC, Coimbra, Portugal"}]},{"given":"L\u00e8lita","family":"Santos","sequence":"additional","affiliation":[{"name":"Medicina Interna, Centro Hospitalar e Universit\u00e1rio de Coimbra\u2014p\u00f3lo HUC, Coimbra, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2013,12,10]]},"reference":[{"key":"2025082803361219000_2013.dec10_1.bcr2013202072.1","doi-asserted-by":"crossref","first-page":"183","DOI":"10.2484\/rcr.v3i3.183","article-title":"Reactivation Mycobacterium tuberculosis presenting as empyema necessitans 55 years following thoracoplasty","volume":"3","author":"McNulty","year":"2008","journal-title":"Radiol Case Rep"},{"key":"2025082803361219000_2013.dec10_1.bcr2013202072.2","first-page":"82","article-title":"Tuberculous 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