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Pleural Empyema due to Group D Salmonella
Jennifer C Kam1, Sami Abdul-Jawad, Chintan Modi
1Department of Internal Medicine, St. Michael's Medical Center, School of Graduate Medical Education, Seton Hall University, South Orange, NJ, USA.
Case Reports in Gastrointestinal Medicine
|October 12, 2012
Summary
Non-typhi Salmonella, a rare cause of lung infections, can lead to pleural effusion. This case highlights Salmonella group D as a potential cause of exudative pleural effusions in patients with underlying lung disease.
Area of Science:
- Infectious Diseases
- Pulmonology
- Microbiology
Background:
- Non-typhi Salmonella typically causes bacteremia, enterocolitis, and endovascular infections.
- Pleuropulmonary disease is an uncommon manifestation of non-typhi Salmonella infections.
- Patients with underlying pulmonary pathology, such as those from extensive smoking, may be at increased risk.
Purpose of the Study:
- To report a rare case of pleuropulmonary disease caused by Salmonella group D.
- To emphasize the importance of considering Salmonella group D in the differential diagnosis of exudative pleural effusions, particularly in at-risk populations.
Main Methods:
- Case presentation of a 66-year-old female with a left-sided pleural effusion.
- Identification of Salmonella group D as the causative agent.
- Surgical intervention (decortication) and antibiotic treatment.
Main Results:
- The patient presented with symptoms consistent with a pleural effusion.
- Salmonella group D was successfully identified as the pathogen.
- The patient's symptoms resolved following decortication and antibiotic therapy.
Conclusions:
- This case supports the inclusion of Salmonella group D in the differential diagnosis of exudative pleural effusions.
- Prompt diagnosis and appropriate treatment, including surgical intervention when necessary, are crucial for managing Salmonella-induced pleuropulmonary disease.
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