Infect Chemother.  2009 Oct;41(5):301-304. 10.3947/ic.2009.41.5.301.

A Case of Escherichia Coli Empyema Preceded by Acute Pyelonephritis

• Cha CW
• Cho JH
• Kim MJ
• Oh YJ
• Yeon JW
• Lee SG
• Oh MJ
• Chai JY
• Kim SY

• KMID: 1473658
• DOI: http://doi.org/10.3947/ic.2009.41.5.301

Abstract

We experienced a case of acute pyelonephritis which progressed to Escherichia coli bacteremia and later complicated by empyema in a 65-year-old female. She was successfully treated with intravenous antibiotic therapy and percutaneous drainage of empyema.

Keyword

Empyema; Escherichia coli; Acute pyelonephritis

MeSH Terms

Aged
Bacteremia
Drainage
Empyema
Escherichia
Escherichia coli
Female
Humans
Pyelonephritis

Figure

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  Figure 1 Chest PA(A) and right decubitus view (B). Chest X-ray shows right costophrenic angle blunting with free fluid shifting.

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  Figure 2 Contrast-enhanced computed tomography of the chest on the 2nd hospital day discloses multi-loculated pleural effusion on right chest and atelectasis on the right middle, lower lobe.

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  Figure 3 Chest X-ray obtained 2 weeks after the treatment shows improvement of pleural effusion.

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  Figure 4 Contrast-enhanced computed tomography of the chest obtained 6 weeks after the treatment demonstrates improvement of empyema.

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