title: Pleural empyema due to Salmonella typhi.
abstract: Salmonella serotypes most often produce gastroenteritis, enteric fever, bacteremia, vascular infection and chronic carrier state. Localized infection may occur at any site after Salmonella bacteremia. Pulmonary involvement due to Salmonella infection is rare. Empyema occurs usually in elderly patients or in patients with underlying diseases such as diabetes mellitus, malignancy, or pulmonary disease. We report the case of an 83-year-old male diabetic patient who presented with fever, productive cough, and difficulty in swallowing. The chest radiographs revealed soft shadowing mild atelactasis and pulmonary abscess on left side. CT-guided aspiration of pus was done. Salmonella enterica serotype typhi was isolated from pus sample. Pleural empyema or abscess usually requires surgical drainage in addition to antimicrobial therapy. After complete course of antimicrobial therapy, the patient improved.
authors.affiliation: Department of Microbiology, Dr. Ziauddin University Hospital, North Nazimabad Campus, Karachi. afridi03@hotmail.com
authors.forename: Faisal Iqbal
authors.initials: FI
authors.lastname: Afridi
authors.forename: Badar Jahan
authors.initials: BJ
authors.lastname: Farooqi
authors.forename: Arif
authors.initials: A
authors.lastname: Hussain
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D016724:Empyema, Pleural / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D008297:Male; D012480:Salmonella Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012485:Salmonella typhi / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents