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[Pleural effusion infected with Salmonella enteridis]
M Vanzeller1, J M Sapage, T Shiang
1Serviço de Pneumologia A, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia.
Acta Medica Portuguesa
|March 10, 2001
Summary
A rare case of Salmonella enteritidis infection caused a subcapsular splenic abscess and pleural effusion in a 49-year-old male. Prompt diagnosis and treatment, including antibiotics and splenectomy, led to recovery.
Area of Science:
- Infectious Diseases
- Internal Medicine
- Pulmonology
Background:
- Pleural effusion can arise from various causes, including infections.
- Splenic abscesses are uncommon but serious intra-abdominal infections.
Observation:
- A 49-year-old male presented with left-sided pleural effusion, initially treated empirically with antibiotics without improvement.
- Imaging revealed a subcapsular splenic abscess, with the pleural effusion becoming purulent.
- Pleural fluid culture identified Salmonella enteritidis enteritidis serotype as the causative agent.
Findings:
- Salmonella enteritidis enteritidis serotype was confirmed as the pathogen.
- Antibiogram guided treatment with cotrimoxazole, leading to clinical improvement.
- Surgical intervention with splenectomy was performed.
Implications:
- This case highlights the importance of considering Salmonella enteritidis in unexplained pleural effusions, especially when associated with splenic abscess.
- Early and accurate diagnosis through microbiological cultures is crucial for effective treatment.
- Multimodal treatment including antibiotics and surgery can be successful in managing complex Salmonella infections.