A Case of Empyema Caused by <I>Salmonella Enteritidis</I> in a Patient with Sequela of Pulmonary Tuberculosis

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  • SUZUKI Hiroyuki
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • OKAMURA Tatsuru
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • IMAMURA Akifumi
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • YUASA Kazumi
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • IGUCHI Mari
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • IEKI Ryuji
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • GOTO Hajime
    Department of Pulmonary Diseases Tokyo Metropolitan Komagome General Hospital
  • MORIYAMA Hirokazu
    Department of Surgery Tokyo Metropolitan Komagome General Hospital
  • NISHIMURA Yoshihiro
    Department of Surgery Tokyo Metropolitan Komagome General Hospital
  • IKEDA Takaaki
    Department of Surgery Tokyo Metropolitan Komagome General Hospital
  • SAKU Kazue
    Central Laboratory Tokyo Metropolitan Komagome General Hospital

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Other Title
  • 肺結核後遺症患者に発症した<I>Salmonella Enteritidis</I>による膿胸の1例
  • A Case of Empyema Caused by Salmonella Enteritidis in a Patient with Sequela of Pulmonary Tuberculosis

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Abstract

A 69-year-old male was admitted to our hospital on Jan. 10, 1995 complaining of bloody sputum, left back pain and fever of 39°C. He had a history of pulmonary tuberculosis 45 years ago. His chest X-ray and CT showed the presence of air-fluid level in the left pleural cavity with thickening and calcification of the pleura. Salmonella Enteritidis was isolated from the sputum, bronchoalveolar lavage fluid and stool. He was diagnosed as suffering from Salmonella-empyema with an internal fistula. Based on the in vitro sensitivity test, sulfamethoxazole/trimethoprim was started. However, the efficacy of the antimicrobia was not sufficient. He then underwent left pleuropneumonectomy. Salmonella was cultured also from the specimen obtained at the operation. His course after operation was uneventful.<BR>Thus, although Salmonella Enteritidis is known as a common pathogen of food poisoning, it can cause empyema, especially in a case with an impaired host defence system.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 70 (4), 382-385, 1996

    The Japanese Association for Infectious Diseases

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