A Case of Empyema and Mediastinitis by Non-typhi Salmonella.
10.4046/trd.2008.65.6.537
- Author:
Suh Yoon YANG
1
;
Hee Won KWAK
;
Ju Han SONG
;
Eun Ju JEON
;
Jae Cheol CHOI
;
Jong Wook SHIN
;
Jae Yeol KIM
;
In Won PARK
;
Byoung Whui CHOI
Author Information
1. Divisioin of Allergy, Respiratory and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. basthma@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Salmonella enteritidis;
Empyema;
Mediastinitis
- MeSH:
Adrenal Cortex Hormones;
Adult;
Anemia, Sickle Cell;
Anti-Bacterial Agents;
Cephalosporins;
Clarithromycin;
Collagen;
Cough;
Empyema;
Humans;
Immunocompromised Host;
Male;
Mediastinitis;
Metronidazole;
Pneumonia;
Salmonella;
Salmonella enteritidis;
Salmonella Infections;
Sensation;
Streptococcus;
Thorax;
Vascular Diseases
- From:Tuberculosis and Respiratory Diseases
2008;65(6):537-540
- CountryRepublic of Korea
- Language:Korean
-
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.
