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Chronic brucella empyema

N Mili1, R Auckenthaler, L P Nicod

  • 1Anesthesiology Division, University Hospital, Geneva, Switzerland.

Chest
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

Brucellosis, a bacterial infection, can cause long-term pleural empyema, even in non-endemic areas. Travel to the Middle East or endemic regions necessitates considering Brucella infection in patients with persistent empyema.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Internal Medicine

Background:

  • Brucellosis incidence has declined in developed nations but remains prevalent in developing countries and endemic regions like the Middle East.
  • Brucellosis is a zoonotic bacterial infection caused by various Brucella species.
  • Pleural empyema is a serious infection of the space between the lungs and the chest wall.

Observation:

  • A Portuguese patient presented with chronic pleural empyema in Switzerland.
  • The patient had a history of travel to a Middle Eastern country.
  • Diagnostic cultures confirmed the presence of Brucella melitensis.

Findings:

  • The patient's long-term pleural empyema was diagnosed as Brucella empyema.
  • Brucella melitensis was identified as the causative agent.

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  • This case highlights a rare presentation of brucellosis outside endemic areas.

    • Implications:

    • Clinicians should consider brucellosis in patients with unexplained pleural empyema, especially those with travel history to endemic regions.
    • Early diagnosis and appropriate antibiotic treatment are crucial for managing Brucella empyema.
    • This case underscores the importance of global disease surveillance and awareness of zoonotic infections.