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Past Issue

Vol. 11, No. 9
September 2005

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Letter

Empyema Thoracis from Salmonella Choleraesuis

Chih-Cheng Lai,* Li-Na Lee,* Po-Ren Hsueh,*Comments Chong-Jen Yu,* and Pan-Chyr Yang*
*National Taiwan University Hospital, Taipei, Taiwan, Republic of China



Appendix Table. Demographic and clinical features of 12 patients with empyema thoracis due to non-typhoid Salmonella*


Patient no.

Sex

Age, y

Underlying condition(s)

Use of antacids

Site(s) of isolation (no. of isolation)

Etiology

Manifestations

Type

Resistance profiles of antimicrobial drugs


1

M

39

NPC

-

Pleural effusion (1)

Aspiration pneumonia

Cough, fever, dyspnea

Salmonella, group C2

C

2

M

58

Thymic cancer, DM

+

Pleural effusion (1)

CAP

Fever, dyspnea, chest pain

S. Typhimurium

None

3

F

50

Breast cancer

-

Pleural effusion (1)

CAP

Cough, fever

S. Typhimurium

C

4

M

41

Liver cirrhosis, gall bladder stones

-

Pleural effusion (2)

CAP

Fever, dypsnea

S. Typhimurium

C, AM

5

M

49

Lung cancer

-

Pleural effusion (1)

Obstructive pneumonia

Cough, fever, dyspnea

S. Typhimurium

AM

6

M

38

Colon cancer

+

Pleural effusion (1)

CAP

Cough, dyspnea

S. Choleraesuis

None

7

F

48

Breast cancer, cervical cancer

+

Pleural effusion (1)

CAP

Dyspnea, chest pain

S. Choleraesuis

C, AM, SXT

8

F

67

DM, liver cirrhosis, gall bladder stones, CRF

+

Pleural effusion (1), blood (2), ascites

Spontaneous bacterial empyema

Fever, dyspnea, abdominal pain

S. Choleraesuis

None

9

M

30

Lung cancer

-

Pleural effusion  (1), blood (2)

CAP

Cough, fever, dyspnea

S. Choleraesuis

C, GM

10

M

53

CRF, CAD, gall bladder stones

+

Pleural effusion (1), aortic wall

Mycotic aneurysm

Fever, abdominal pain

S. Choleraesuis

None

11

M

51

DM, liver cirrhosis, gall bladder stones, CRF

-

Pleural effusion (3), blood (2)

Obstructive pneumonitis

Cough, dyspnea

S. Choleraesuis

AM

12

M

49

Alcoholism, gall bladder stones, CAD

-

Pleural effusion (1)

CAP

Fever, dyspnea

S. Choleraesuis

C, AM, CIP, SXT


*NPC, nasopharyngeal cancer; C, chloramphenicol; DM, diabetes mellitus; CAP, community acquired pneumonia; AM, ampicillin; SXT, sulfamethoxazole-trimethoprim; CRF, chronic renal failure; GM, gentamicin; CAD, coronary artery disease; CIP, ciprofloxacin.

   
     
   
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Po-Ren Hsueh, Departments of Laboratory Medicine and Internal Medicine, National Taiwan University, No 7, Chung-Shan South Road, 100 Taipei, Taiwan, Republic of China; fax: 886-2-23224263; e-mail: hsporen@ha.mc.ntu.edu.tw

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This page posted August 12, 2005
This page last reviewed August 19, 2005

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