title: A case of empyema caused by Edwardsiella tarda.
abstract: In December 2003, a 57-year-old-man was diagnosed as having a hepatic tumor for which he had a hepatectomy. On pathology, the hepatic tumor biopsy specimen was diagnosed as malignant lymphoma. In February 2005, the patient was referred to our hospital because of fever and chest pain. A right pleural effusion was seen on chest X-ray. Microscopic examination of the stained pleural fluid revealed many neutrophils and Gram-negative rods, and Edwardsiella tarda was cultured from the pleural effusion fluid. These findings were consistent with an empyema caused by E. tarda. Therefore, we treated the patient with panipenem/betamipron and thoracic drainage. In this paper, we describe this rare case of empyema caused by E. tarda infection.
authors.affiliation: Department of Respiratory and Hematology Medicine, Oita Prefectural Hospital, Oita, Japan. mizunoe@med.oita-u.ac.jp <mizunoe@med.oita-u.ac.jp>
authors.forename: Syunji
authors.initials: S
authors.lastname: Mizunoe
authors.forename: Tohru
authors.initials: T
authors.lastname: Yamasaki
authors.forename: Issei
authors.initials: I
authors.lastname: Tokimatsu
authors.forename: Naoko
authors.initials: N
authors.lastname: Matsunaga
authors.forename: Hisako
authors.initials: H
authors.lastname: Kushima
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hashinaga
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Kadota
mesh_terms: D004322:Drainage; D020609:Edwardsiella tarda / Q000302:isolation & purification* / Q000472:pathogenicity*; D016724:Empyema, Pleural / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D011859:Radiography