Salmonella empyema: a case report
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1 pneumonia 2015 Nov 17;6: Case Report Salmonella empyema: a case report Shivanshan Pathmanathan a, Suminda Welagedara a,c, Petra Dorrington b,c, Siddharth Sharma a,c a Department of Medicine, Gold Coast University Hospital, Southport, Queensland, Australia; b Department of Microbiology, Gold Coast University Hospital, Southport, Queensland, Australia; c Corresponding author: Dr Shivanshan Pathmanathan, Department of Medicine, Gold Coast University Hospital, 1 Hospital Boulevard, Southport, Queensland 4215, Australia. Phone: shivvyp89@gmail.com All the authors met ICMJE authorship criteria. SP, SW, PD, SS conceived and designed the research plan. SP, SW, PD, manuscript. Received 23 June 2015; Accepted 4 November 2015; Published 17 November 2015 Pathmanathan S, Welagedara S, Dorrington P, Sharma S. Salmonella empyema: a case report. pneumonia 2015;6: Abstract Non-typhi Salmonella enterica Salmonella enterica S. enterica Keywords: Salmonella, enterica, empyema, pleural, pulmonary 120
2 1. Salmonella Enterobacteriaeceae. Salmonella enterica including enteric fever. Non-typhi S. enterica serovars most abscess. Non-typhi S. enterica serovars rarely cause Only 1 case of non-typhi S. enterica empyema has been of unilateral empyema caused by Salmonella enterica 2. Case report history included ischaemic heart disease, severe mitral 9 and subsp. S. enterica no history of travel outside Australia in the preceding 12 months. respiratory rate of 16 breaths/min, tachycardia ( beats/min, irregular), normal blood pressure (120/70 a jugular venous pressure elevated at 7 cm and a Grade elevated at 268 mg/l Figure 1 121
3 S. enterica serovar S. enterica. Challenges included the management of severe right 2.1 Ethics statement Gold Coast Hospital and Health Service, Gold Coast, obtained and recorded in the electronic medical records. is: HREC/15/QGC/ Discussion 28 cases of S. enterica S. enterica typhi S. enterica found to have S. enterica S. enterica [9]. and symptoms have been reported. It is common immunosuppression secondary to a Grade 1 neutropenia. areas such as India, South-East Asia and Africa [16]. Salmonella typhi S. enterica serovars empyema commonly presents response. Salmonella predominantly occurs through infected food products such as eggs and S. enterica [10] [12] [17]. Other causes include seeding from such as Salmonella of Salmonella, cultures. It is suspected that non-typhi Salmonella may It should also be noted that blood cultures are regularly Salmonella 122
4 the treatment of Salmonella in the management of non-typhi Salmonella In conclusion, Salmonella empyema is an uncommon Salmonella as a cause Funding: Provenance and peer review: Copyright: author and source are credited. References 1. Am Month Micr J 1886;7: Anim Ind Bull 1894;6: org/ / PMID: Cistulli PA, Barnes DJ, Young GA. Salmonella empyema in 5. org/ / PMID: D Salmonella. Case Rep Gastrointest Med 2012; 2012: PMID: lies beneath a Salmonella Enterica empyema. BMJ PMID: ;22: PMID: case of Empyema thoracic due to Salmonella typhi in PMID: AIDS 1995;6: PMID: org/ / PMID: empyema in a heart transplant recipient. J Heart 13. typhimurium. Am Rev Respir Dis 1961;83: PMID: PMID: alveolar cell carcinoma. South Med J 1984;77: PMID: Dis 2010;50: PMID: empyema due to Salmonella: a case report. Korean J Intern Med 2000;15: PMID: Sethia B, Reece IJ, Davidson KG. Empyema, subphrenic abscess and pyaemic splenic necrosis. A R Coll Surg Edinb 1985;30: PMID: Roguin A, Gavish I, Ben Ami H, Edoute Y. Pleural Isr Med Assoc J 1999;1: PMID: splenic biopsy. Respir Med 1998;92: PMID: to Salmonella dublin. Eur J Respir Dis 1986;68:73 4. PMID: Sethia B, Reece IJ, Davidson KG. Empyema, subphrenic abscess and pyaemic splenic necrosis. A R Coll Surg Edinb 1985;30: PMID: Buscaglia AJ. Empyema due to splenic abscess PMID: to nontyphoid strains of Salmonella. Arch Intern archinte PMID:
5 26. in typhoid fever: an analysis of 1602 cases. Am J Med Sci 1907;133: NEJM PMID:
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