Bilateral empyema thoracis due to Lactobacillus gasseri. Has anything changed since Hippocrates?

Lactobacillus gasseri Causing Bilateral Empyema

Lactobacilli are common commensal bacteria found in the gastrointestinal and genitourinary tract. Although they are usually thought to be nonpathogenic, there have been several cases that demonstrate severe infections caused by these microorganisms. This is a case of a 49-year-old male with previously undiagnosed type two diabetes mellitus who presented with a 3-month history of cough and was f...

Bilateral Suspected Tuberculous Empyema Thoracis

Empyema thoracis is a well known complication following para-pneumonic effusions in paediatric age group. Usually it is unilateral but rarely could be bilateral. Herein we report a case of bilateral tuberculous empyema thoracis in a 12 years old, unvaccinated girl with a positive history of contact with tuberculosis. She was managed conservatively with tube thoracostomies and anti-tuberculous d...

Empyema thoracis due to Nocardia otitidiscaviarum.

We read with interest the article on pulmonary nocardiosis in southern Taiwan by Chen et al. In their study, eight of the 20 patients with pulmonary nocardiosis had pleural effusion and three of these patients had empyema thoraces. Among these three nocardial empyema cases, the authors reported a 61-year-old man with diabetes mellitus and chronic liver disease suffering from an acute course of ...

Bilateral empyema thoracis treated by staged thoracotomies.

Pleural effusion is a common finding following pneumonia. It can become infected with accumulation of pus, forming empyema thoracis (ET), which is frequently encountered in childhood. Proper drainage and broadspectrum antibiotics are the mainstays of treatment. However, operative intervention is another mode of therapy in later stages of the condition. Election of either mode of therapy is a co...

Post-Romanow, post-Kirby; has anything changed?