Empyema thoracis from Salmonella choleraesuis [4]
Journal
Emerging Infectious Diseases
Journal Volume
11
Journal Issue
9
Pages
1493-1494
Date Issued
2005
Author(s)
Abstract
Empyema Thoracis from Salmonella CholeraesuisTo the Editor: The clinical presentations of nontyphoidal Salmonella infection are protean, including gastroenteritis (most common), bacteremia, septic arthritis, osteomyelitis, and endovascular infection.(1).Despite the growing number of patients with invasive infection due to nontyphoid Salmonella, reports of thoracic empyema due to these organisms remain rare (2-6).We searched the computer database of our microbiology laboratory for patients with positive pleural effusion culture from June 1997 to February 2004.Patients were included if they met the following criteria: 1) thoracentesis recovered purulent pleural fluid; 2) microorganisms identified by microscopic examination; and 3) a Salmonella species isolated from a pleural effusion specimen.Isolates of Salmonella were identified to the serotype level, according to the Kauffman and White scheme, using somatic and flagellar antigens (Denka Seiken Co., Ltd., Tokyo, Japan) and also by conventional methods and the Phoenix System (panel type, NMIC/ID4) (Becton Dickson, Sparks, MD, USA) (7).Susceptibilities of Salmonella isolates to ampicillin, cefotaxime, chloramphenicol, ciprofloxacin, and trimethoprim-sulfamethoxazole were determined by the disk diffusion method.Organisms were categorized as susceptible or resistant to the antimicrobial agents tested on the basis of National Committee for Clinical Laboratory Standards (NCCLS) guidelines (8).Antimicrobial therapy was considered to be appropriate when the antimicrobial agent was active in vitro by the disk diffusion susceptibility method against a Salmonella isolate.
SDGs
Other Subjects
ampicillin; antiinfective agent; antineoplastic agent; bacterial antigen; cefotaxime; chloramphenicol; ciprofloxacin; cotrimoxazole; glucose; lactate dehydrogenase; steroid; antiinfective agent; adult; aged; antibiotic resistance; antibiotic sensitivity; antimicrobial therapy; bacterium isolation; clinical article; diffusion; female; human; infection sensitivity; letter; leukocyte count; male; microscopy; pleura effusion; pleura empyema; Salmonella choleraesuis; serotype; thoracocentesis; thoracoscopy; thorax drainage; classification; drug effect; isolation and purification; microbiology; middle aged; mortality; multidrug resistance; pleura empyema; Salmonella; serotyping; Aged; Anti-Bacterial Agents; Drug Resistance, Multiple, Bacterial; Empyema, Pleural; Female; Humans; Male; Middle Aged; Salmonella; Serotyping
Type
letter