A Case of Escherichia Coli Empyema Preceded by Acute Pyelonephritis

Chi-Woon Cha; Jun-Hyung Cho; Mi-Jin Kim; Yun-Jung Oh; Jae-Woo Yeon; Seong-Gyu Lee; Mi-Jung Oh; Ji-Young Chai; Sue-Yun Kim

doi:10.3947/ic.2009.41.5.301

Journal List > Infect Chemother > v.41(5) > 1075484

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Cha, Cho, Kim, Oh, Yeon, Lee, Oh, Chai, and Kim: A Case of Escherichia Coli Empyema Preceded by Acute Pyelonephritis

Case Report

Infection and Chemotherapy

Infection and Chemotherapy 2009; 41(5): 301-304.

Published online: 31 October 2009

DOI: https://doi.org/10.3947/ic.2009.41.5.301

A Case of Escherichia Coli Empyema Preceded by Acute Pyelonephritis

Chi-Woon Cha, M.D.¹, Jun-Hyung Cho, M.D.¹, Mi-Jin Kim, M.D.¹, Yun-Jung Oh, M.D.¹, Jae-Woo Yeon, M.D.², Seong-Gyu Lee, M.D.³, Mi-Jung Oh, M.D.¹, Ji-Young Chai, M.D.¹, Sue-Yun Kim, M.D.¹

¹Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.

²Department of Diagnostic Radiology, Bundang Jesaeng General Hospital, Seongnam, Korea.

³Department of Laboratory Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.

Correspondence author: Sue-Yun Kim, M.D. Department of Internal Medicine, Bundang Jesaeng General Hospital, 255-2 Seohyun-dong, Bundang-gu, Seongnam, 463-774, Korea. Tel: +82-31-779-0695, Fax: +82-31-779-0897, kysun@dmc.or.kr

Received 23 June 2009 Accepted 3 August 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We experienced a case of acute pyelonephritis which progressed to Escherichia coli bacteremia and later complicated by empyema in a 65-year-old female. She was successfully treated with intravenous antibiotic therapy and percutaneous drainage of empyema.

Keywords: Empyema, Escherichia coli, Acute pyelonephritis

Figures and Tables

Figure 1

Chest PA(A) and right decubitus view (B). Chest X-ray shows right costophrenic angle blunting with free fluid shifting.

Figure 2

Contrast-enhanced computed tomography of the chest on the 2nd hospital day discloses multi-loculated pleural effusion on right chest and atelectasis on the right middle, lower lobe.

Figure 3

Chest X-ray obtained 2 weeks after the treatment shows improvement of pleural effusion.

Figure 4

Contrast-enhanced computed tomography of the chest obtained 6 weeks after the treatment demonstrates improvement of empyema.

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