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Pasteurella multocida empyema: successful treatment with open thoracostomy
B J Bohner1, W B Emory, J B Blalock
1Dept of Internal Medicine, Ochsner Clinic, New Orleans, LA 70121.
Abstract:
Pasteurella multocida appears to be an uncommon pathogen in human thoracic empyema. The morbidity and mortality associated with these infections has been significant, presumably secondary to the elderly populations they affect, many with chronic lung disease and impaired pulmonary defenses. We report a case of pasteurella empyema treated with open thoracostomy and rib resection and advocate use of such a procedure early in the treatment of patients with this infection.
Insights
Pasteurella multocida is a rare cause of thoracic empyema, often affecting elderly patients with lung disease. Early open thoracostomy and rib resection is recommended for treating this severe infection.
Area of Science:
- Medical Microbiology
- Thoracic Surgery
- Infectious Diseases
Background:
- Thoracic empyema is a serious condition with significant morbidity and mortality.
- Pasteurella multocida is an uncommon pathogen in human empyema cases.
- Elderly patients with chronic lung disease are particularly vulnerable.
Observation:
- A case of Pasteurella multocida-induced thoracic empyema is presented.
- The patient's infection was severe, likely due to age and underlying pulmonary conditions.
Findings:
- Successful treatment of Pasteurella empyema was achieved using open thoracostomy and rib resection.
- This surgical approach demonstrated efficacy in managing a rare empyema etiology.
Implications:
- Early surgical intervention may improve outcomes for patients with Pasteurella empyema.
- Highlights the importance of considering uncommon pathogens in thoracic infections.
- Suggests open thoracostomy and rib resection as a viable treatment option.