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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.
Summary
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.