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Salmonella pericarditis and empyema: a case report
C H Yang1, K J Chen, H H Tseng
1Division of Infectious Disease, Taipei Municipal Jen-Ai Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|September 1, 1995
Summary
This case report details a rare instance of Salmonella typhimurium causing both pericarditis and empyema in a diabetic patient. Prompt antibiotic treatment and drainage led to the patient's complete recovery.
Area of Science:
- Infectious Diseases
- Cardiology
- Pulmonology
Background:
- Salmonella typhimurium infections are typically gastrointestinal but can lead to rare systemic complications.
- Pericarditis and empyema are known, albeit infrequent, complications of Salmonella infections.
Observation:
- A 54-year-old diabetic female presented with dyspnea and orthopnea.
- Diagnostic procedures revealed massive pericardial effusion and bilateral pleural effusion.
- Cultures from both effusions identified Salmonella typhimurium.
Findings:
- The patient received immediate antibiotic therapy and underwent pericardiocentesis and thoracocentesis.
- Despite treatment, pleural effusion persisted, requiring repeated drainage procedures.
- The patient was discharged after 51 days with complete resolution of symptoms.
Implications:
- This case highlights the rare coexistence of Salmonella-induced pericarditis and empyema.
- It underscores the importance of considering Salmonella in severe effusive diseases, especially in immunocompromised individuals.
- The successful management emphasizes the need for aggressive and tailored therapeutic approaches for these rare complications.