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Pleural empyema due to S. typhi: a case report
S Mishra1, D Pattnaik, A Mahapatra
1Department of Microbiology, M.K.C. G. Medical College, Berhampur.
Indian Journal of Pathology & Microbiology
|October 9, 2004
Summary
Salmonella typhi, a bacterium, was identified as the cause of pleural empyema in a 35-year-old male with hydropneumothorax. This case highlights a rare presentation of typhoid fever affecting the pleural space.
Area of Science:
- Infectious Diseases
- Pulmonology
- Microbiology
Background:
- Pleural empyema is a serious condition involving pus in the pleural space, often caused by bacterial infections.
- Hydropneumothorax, the presence of both fluid and air in the pleural space, can complicate various thoracic conditions.
- Salmonella typhi is primarily known for causing typhoid fever, a systemic illness.
Observation:
- A 35-year-old immunocompetent male presented with clinical signs of left-sided hydropneumothorax.
- Diagnostic investigations led to the isolation of Salmonella typhi from the pleural fluid.
Findings:
- The causative agent of the pleural empyema in this case was confirmed to be Salmonella typhi.
- This indicates an unusual presentation of Salmonella typhi infection, extending beyond the typical gastrointestinal and systemic manifestations.
Implications:
- This case underscores the importance of considering atypical pathogens in pleural infections, even in immunocompetent individuals.
- The findings suggest that Salmonella typhi can manifest as a cause of bacterial pleuritis, necessitating broader diagnostic considerations.
- Further research may explore the mechanisms and frequency of Salmonella typhi-induced pleural empyema.