Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2011  |  Volume : 4  |  Issue : 2  |  Page : 128-132

Escherichia coli pleural empyema: Two case reports and literature review


Department of Medicine, Hamad General Hospital, P.O.Box: 3050, Doha, Qatar

Correspondence Address:
Fahmi Yousef Khan
Department of Medicine, Hamad General Hospital, P.O. Box: 3050, Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.85770

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Escherichia coli (E. coli) was isolated from the pleural space of two patients; the first one was a 32-year-old Nepali man who was healthy before, presented with 15 day fever and cough. Chest x-ray showed left-sided pleural effusion. After diagnostic workup, he was diagnosed to have E. coli parapneumonic empyema. In addition to the antibiotics and intrapleural streptokinase, decortication was required to improve his condition. The second patient was a 61-year-old Egyptian man who was presented with one-week fever with shortness of breath. He had a history of liver cirrhosis with multiple admissions for decompensated liver diseases. Chest x-ray showed right-sided massive pleural effusion. He was diagnosed with spontaneous bacterial empyema. The patient responded well to fluid drainage and administration of antibiotics; the pleural fluid decreased to minimum in 14 days.


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