Akademik Veri Yönetim Sistemi
TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX, cilt.53, sa.4, ss.397-400, 2005 (ESCI)
65 years old female was admitted to hospital with fever, purulant sputum and dispnea. The patient has hepatic chirosis secondary to autoimmun hepatitis and hepatocelluler carsinoma. Immunosupressive treatment is used for autoimmun hepatitis. In physical examination matite and diminished respiratory sounds were determined at right hemithorax. Ascitis was determined in abdominal examination. Chest X-ray showed pleural effusion in right hemithorax. Seroushemoragical fluid was aspirated by thorasynthesis. Pleural fluid pH was 6.9 and had an exudative nature. The patient was the diagnosed as empyema. Right tube thorachostomia was performed and sulbactam-ampicillin 6 g/day therapy was started. In patient's ascit fluid no bacteria and leucocytes was seen. Salmonella typhi was isolated from pleural fluid. No microorganisms were isolated from ascit fluid, urine and stool culture. Klebsiella pneumoniae is isolated in patient's hemoculture. Clinical improving was detected. Chest X-ray showed totaly regretion of pleural fluid and the tube thoracostomy removed. We presented this case because of rarely seen microorganism (S. typhi) in immuncompromised patients a cause of pleural empyema which is frequently seen gastrointestinal infections.