| A Case of Empyema and Mediastinitis by Non-typhi Salmonella. |
|
Suh Yoon Yang, Hee Won Kwak, Ju Han Song, Eun Ju Jeon, Jae Cheol Choi, Jong Wook Shin, Jae Yeol Kim, In Won Park, Byoung Whui Choi |
|
Divisioin of Allergy, Respiratory and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. basthma@cau.ac.kr |
|
|
| Abstract |
|
There are few reports of the pleuropulmonary involvement of a non-typhi Salmonella infection in immunocompromised patients with AIDS, malignancy, collagen vascular diseases, extended use of corticosteroids, sickle cell disease, or diabetes. We report a case of a non-immunocompromised patient who presented with concomitant empyema and mediastinitis due to Salmonella without a comorbid disease. A 26-year-old male patient, with a history of pneumonia 5 years earlier and having lived abroad for several years, presented chronic cough and febrile sensation. Pneumonia, empyema and mediastinitis were noted in a chest CT scan and Salmonella enteritidis and beta-hemolytic streptococcus were identified from a culture of the pleural fluid. Initially, he was treated with cefepime, metronidazole and clarithromycin. He was cured clinically and radiographically after an 8 week treatment with antibiotics. In conclusion, this report suggests that S. enteritidis can cause empyema and mediastinitis, albeit rarely. |
| Key Words:
Salmonella enteritidis, Empyema, Mediastinitis |
|
PDF Links
Full text via DOI
Download Citation
