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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Indentation On Chest

Doctor, I recently observed a small open area in a family member s chest. I was told opening has been present since early childhood, (25 years of age now). Family member shared there has occasionally been drainage from the area, (foul order). What is possible cause of opening/drainage?
Tue, 28 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
You should immediately consult pulmonologist for your family member because possibility of empyema necessitans is high in this case.
Empyema necessitans is chronic bacterial infection of pleura which is spreading to the overlying skin and cause discharging sinus.
Your family member is also having discharge with foul smell, this suggest possibility of mixed (aerobic and anerobic) infection more.
Treatment of empyema necessitans is video assisted thoracoscopic surgery (VATS).
In this infected pleura and pus is removed and sinus has been closed.
Patient needs antibiotics for 1-2 months.
So better to consult pulmonologist and discuss all these.
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Suggest Treatment For Indentation On Chest

Thanks for your question on HCM. You should immediately consult pulmonologist for your family member because possibility of empyema necessitans is high in this case. Empyema necessitans is chronic bacterial infection of pleura which is spreading to the overlying skin and cause discharging sinus. Your family member is also having discharge with foul smell, this suggest possibility of mixed (aerobic and anerobic) infection more. Treatment of empyema necessitans is video assisted thoracoscopic surgery (VATS). In this infected pleura and pus is removed and sinus has been closed. Patient needs antibiotics for 1-2 months. So better to consult pulmonologist and discuss all these.