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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
Published on: July 18, 2017
[Massive pleural empyema caused by pyonephrosis]
M Lacort Fernández1, M J Gutiérrez Fernández, M A González Rodríguez
1Servicio de Medicina Intensiva, Hospital de Cabueñes, INSALUD, 33280 Gijón, Asturias.
Anales De Medicina Interna (Madrid, Spain : 1984)
|October 12, 2001
Summary
Pleural empyema can arise from unusual, extralung sources. This case highlights an asymptomatic pyonephrosis from a kidney calculus as a rare cause, requiring targeted antibiotic and drainage therapies.
Area of Science:
- Nephrology
- Pulmonology
- Infectious Diseases
Background:
- Pleural empyema typically originates from pulmonary infections.
- Extrapulmonary sources of empyema are uncommon but necessitate identification of the primary cause for effective management.
Observation:
- A case of pleural empyema was identified with an unusual origin.
- The primary source was an asymptomatic pyonephrosis secondary to a large kidney calculus.
- Diagnosis was suspected based on positive bacillus results.
Findings:
- The patient presented with pleural empyema linked to an undiagnosed kidney infection.
- Successful management involved a multi-pronged approach including antibiotics and drainage.
- Treatment encompassed thoracic drainage and evacuation of renal and perirenal purulent collections.
Implications:
- This case underscores the importance of considering extralung origins for pleural empyema.
- Prompt identification and treatment of the primary source, such as pyonephrosis, are crucial for patient outcomes.
- Integrated management strategies are vital for complex cases involving simultaneous thoracic and renal infections.
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