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KMID : 0383820080650060537
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 6 p.537 ~ p.540
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A Case of Empyema and Mediastinitis by Non-typhi Salmonella
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Yang Suh-Yoon
Song Ju-Han
Jeon Eun-Ju
Choi Jae-Cheol
Shin Jong-Wook
Kim Jae-Yeol
Park In-Won
Choi Byoung-Whui
Kwak Hee-Won
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Abstract
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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 β-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.
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KEYWORD
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Salmonella enteritidis, Empyema, Mediastinitis
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