Wang J T, Hsueh P R, Sheng W H, Chang S C, Luh K T
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2000 Oct;99(10):783-4.
Chylothorax is bacteriostatic in nature. Bacterial infection rarely develops in chylothorax and has never been reported in a non-immunocompromised host. A 33-year-old woman was admitted to National Taiwan University Hospital because of fever and right pleuritic pain. Chest roentgenography and computed tomography revealed right pleural effusion. Examination of the pleural effusion revealed a profile compatible with empyema and chylothorax. Culture of the pleural effusion yielded Streptococcus agalactiae. The woman was not immunocompromised. This is the first report of infected chylothorax caused by Streptococcus agalactiae in a non-immunocompromised host.
乳糜胸本质上具有抑菌作用。乳糜胸中很少发生细菌感染,在非免疫功能低下的宿主中从未有过相关报道。一名33岁女性因发热和右侧胸膜炎性疼痛入住台湾大学医院。胸部X线和计算机断层扫描显示右侧胸腔积液。胸腔积液检查显示其特征与脓胸和乳糜胸相符。胸腔积液培养出无乳链球菌。该女性免疫功能正常。这是首例关于非免疫功能低下宿主中由无乳链球菌引起的感染性乳糜胸的报道。