Empyema thoracis in a patient with Enterococcus faecium bacteremia

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Enterococcus cecorum empyema thoracis successfully treated with cefotaxime.

We report the first case of Enterococcus cecorum empyema thoracis and spontaneous bacterial peritonitis in a 44-year-old man with underlying cirrhosis. The patient responded to cefotaxime (MIC, 0.25 microg/ml) treatment and drainage of the empyema. Susceptibility of E. cecorum to expanded-spectrum cephalosporins could be due to its production of types of penicillin-binding proteins similar to t...

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Empyema Thoracis

Epmyema thoracis is associated with high mortality ranging between 6% to 24%. The incidence of empyema is increasing in both children and adults; the cause of this surge is unknown. Most cases of empyema complicate community- or hospital-acquired pneumonia but a proportion results from iatrogenic causes or develops without pneumonia. Parapneumonic effusions (PPE) develop in about one half of th...

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Neonatal Empyema Thoracis: a case report

A term newborn was admitted to the neonatal intensive care unit immediately after the birth, with respiratory distress due to congenital pneumonia. With progression of respiratory symptoms, empyema thoracis was diagnosed due to the right massive purulent pleural effusion in chest X ray. Treatment was fulfilled by ventilator support and pus drainage by means of two chest tubes and appropriate an...

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Empyema thoracis: a problem with late referral?

BACKGROUND Patients are often referred to thoracic units for management of empyema after the acute phase has been treated with antibiotics but without adequate drainage. This study evaluates the effects of delay in surgical treatment of empyema thoracis on morbidity and mortality. METHODS Thirty nine consecutive patients were studied from January 1991 to June 1992. Two groups (group 1, 16 pat...

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Enterococcus faecium bacteremia: does vancomycin resistance make a difference?

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ژورنال

عنوان ژورنال: PAMJ Clinical Medicine

سال: 2020

ISSN: 2707-2797

DOI: 10.11604/pamj-cm.2020.3.30.23568