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CC BY-NC-ND 4.0 · J Lab Physicians 2012; 4(01): 045-047
DOI: 10.4103/0974-2727.98673
Case Report

A Case of Empyema Thoracic due to Salmonella typhi in 18-month-old Child: An Unusual Cause

Devki Nandan
Department of Pediatrics PGIMER, Dr. RML Hospital, New Delhi, India
,
Lalish Jhavar
Department of Pediatrics PGIMER, Dr. RML Hospital, New Delhi, India
,
Vivek Dewan
Department of Pediatrics PGIMER, Dr. RML Hospital, New Delhi, India
,
Girish Chandra Bhatt
Department of Pediatrics PGIMER, Dr. RML Hospital, New Delhi, India
,
Nirmaljeet Kaur
Department of Microbiology, PGIMER, Dr. RML Hospital, New Delhi, India
› Author Affiliations Source of Support: Nil
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ABSTRACT

We herein report an 18-months-old child who presented with high-grade fever, cough, and breathlessness along with tachypnoea and diminished air entry on the left side of the chest, in which a diagnosis of left-sided pleural effusion was made. Salmonella typhi was isolated from the pleural tap culture. The patient had uneventful recovery with appropriate antibiotic therapy. Empyema thoracic as a complication is extremely rare in the absence of an underlying co-morbid illness, is even more uncommon in a child, and is even rarer to find with Salmonella typhi species. After reviewing the available literature we could find only five cases of empyema thoracic due to Salmonella typhi in children with the age range of 9–13 years. We are reporting this case as the youngest child reported with this complication.

Keywords

Children - empyema thoracic - Salmonella typhi


Publication History

Article published online:
09 May 2020

© 2012.

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  • REFERENCES

  • 1 Verma M, Chhatwal J, Saini V, Singh T. Enteric fever below 2 years of age. Indian Pediatr 1996;33:229-30.
  • 2 Sharma A, Gathwala G. Clinical profile and outcome in enteric fever. Indian Pediatr 1993;30:47-50.
  • 3 Ramanam A, Pandit N, Yeshwanth M. Unusal complications in multidrug resistant Salmonella Typhi outbreak. Indian Pediatr 1992;29:118-20.
  • 4 Cistulli PA, Barnes DJ, Young GA. Salmonella empyema in a patient with lymphoma. Aust N Z J Med 1991;21:246-7.
  • 5 Su CP, Chen YC, Chang SC. Changing characteristics of typhoid fever in Taiwan. J Microbiol Immunol Infect 2004;37 : 109-14.
  • 6 Dutta TK, Beeresha, Ghotekar LH. Atypical manifestations of typhoid fever. J Postgrad Med 2001;47:248-51.
  • 7 Crum NF. Non-typhi Salmonella empyema: case report and review of the literature. Scand J Infect Dis 2005;37:852-7.
  • 8 Mohanty S, Gaind R, Paglietti B, Paul P, Rubino S, Deb M. Bacteraemia with pleural effusions complicating typhoid fever caused by high-level ciprofloxacin-resistant Salmonella enterica serotype Typhi. Ann Trop Paediatr 2010;30:233-40.
  • 9 Government of India. Health Information 1993, DGHS, New Delhi:Department of Publications, Govt. of India, Civil Lines, 1994.
  • 10 Mishra S, Patwari AK, Anand VK, Pillon PK, Aneja S, Chandra J, et al. A clinical profile of multidrug resistant typhoid fever. Indian Pediatr 1991;28:1171-4.
  • 11 Gomez HF, Cleary TG. Salmonella In: Text book of Pediatric infectious disease, 4th ed. In: Eigin RD, Cherry JD, editors. Philadelphia: W.B. Saunders; 1998. p. 1331-4.
  • 12 Revathi G, Gomber S, Dua JS, Kaur I. Empyema thoracis due to salmonella typhi- a case report. Ind Med Gaz 1995;3:71-2.
  • 13 Rahman SS, Sinclair S. Empyema thoracis due to Salmonella typhi. Indian Pediatr 1980;17:91-6.
  • 14 Martinez-Vazquez JM, Pathissa A, Tornos MP, Gemar M, Bacardi R. Empyema due to splenic abscess in typhoid fever. Br Med J 1977;1:1323.
  • 15 Chaturvedi P, Jain VK, Gupta RK, Saoji S, Moghe KV, Sharma SM. Sickle cell anaemia with Salmonella empyema thoracis: (a case report). Indian Pediatr 1978;15:605-6.