[Pleural effusion infected with Salmonella enteridis].
The authors describe the case of a 49 year-old caucasian male with left pleural effusion. The etiology of the effusion was exsudative with a preponderance of neutrophils. Ten days after admission and on empirical antibiotic therapy, the patient still had fever and the pleural effusion that became purulent. The thoracic echography and computerized tomography showed a subcapsular splenic abcess. The diagnosis was established by the culture of the pleural effusion and the isolation of Salmonella enteritidis enteritidis serotype. According to the antibiogram, a treatment with cotrimoxazole was established with clinical improvement. A splenectomy was performed.
Serviço de Pneumologia A, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia.
M
M
Vanzeller
J M
JM
Sapage
T
T
Shiang
F
F
Rodrigues
D006801:Humans; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000382:microbiology*; D011859:Radiography; D012480:Salmonella Infections / Q000150:complications* / Q000000981:diagnostic imaging; D012477:Salmonella enteritidis; D014463:Ultrasonography