Nandan Devki, Jhavar Lalish, Dewan Vivek, Bhatt Girish Chandra, Kaur Nirmaljeet
Department of Pediatrics, PGIMER, Dr. RML Hospital, New Delhi, India.
J Lab Physicians. 2012 Jan;4(1):45-7. doi: 10.4103/0974-2727.98673.
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.
我们在此报告一名18个月大的儿童，其表现为高热、咳嗽、呼吸急促，伴有呼吸频率加快以及左侧胸部呼吸音减弱，诊断为左侧胸腔积液。从胸腔穿刺培养物中分离出伤寒沙门氏菌。患者经适当的抗生素治疗后顺利康复。在没有潜在合并症的情况下，脓胸作为一种并发症极为罕见，在儿童中更为少见，而由伤寒沙门氏菌引起的则更是罕见。查阅现有文献后，我们仅发现5例9至13岁儿童因伤寒沙门氏菌导致脓胸的病例。我们报告此病例是因为这是报道的患有该并发症的最年幼患儿。
