Tuberc Respir Dis.  1995 Feb;42(1):105-109. 10.4046/trd.1995.42.1.105.

A Case of Empyema by Salmonella

• Na DY
• Song IH
• Park MJ
• Yoon KH
• Yoo JH
• Kang HM

• KMID: 2045059
• DOI: http://doi.org/10.4046/trd.1995.42.1.105

Abstract

Pulmonary involvement of salmonella infection is very rare and only one case of salmonella empyema had been reported in Korea. A 53-year-old woman presented to Kyung Hee Medical Center with 2-months history of left chest pain and mild fever. 3 months prior to admission, the patient was taken to laparoscopic laser cholecystectomy due to gall stone in other hospital. Chest X-ray taken on admission day showed pneumonic infiltration at left lower lung field with pleural effusion. Salmonella Group B was identified from the cultures of stool, blood, and pleural fluid. After consecutive therapy with two weeks of ceftriaxone and three weeks of ciprofloxacin combined with repeated pleural aspirations, the patient was recovered and discharged. But she was readmitted two months later due to fever and generalized malaise. The result of blood culture showed growth of Salminella Group B. The excisional biopsy of right supraclavicular lymph node disclosed necrotizing lymphadenitis. She was recovered clinically and no more bacteremia occurred after two weeks of ciprofloxacin therapy. We present very rare case of empyema due to salmonella infection and review the pertinent literature.

Keyword

Salmonella; Empyema

MeSH Terms

Aspirations (Psychology)
Bacteremia
Biopsy
Ceftriaxone
Chest Pain
Cholecystectomy
Ciprofloxacin
Empyema*
Female
Fever
Gallstones
Humans
Korea
Lung
Lymph Nodes
Lymphadenitis
Middle Aged
Pleural Effusion
Salmonella Infections
Salmonella*
Thorax
Ceftriaxone
Ciprofloxacin