A Case of Empyema by Salmonella.

Na, Deug Young; Song, Ill Han; Park, Myoung Jae; Yoon, Ki Heon; Yoo, Jee Hong; Kang, Hong Mo

doi:1995.42.1.105

Tuberc Respir Dis > Volume 42(1); 1995 > Article

Case Report

Tuberculosis and Respiratory Diseases 1995;42(1):105-109.
DOI: https://doi.org/10.4046/trd.1995.42.1.105 Published online February 1, 1995.

A Case of Empyema by Salmonella.

Deug Young Na, Ill Han Song, Myoung Jae Park, Ki Heon Yoon, Jee Hong Yoo, Hong Mo Kang

Department of Internal Medicine, Kyung Hee University, School of Medicine, Seoul, Korea.

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.

Key Words: Salmonella, Empyema