UPM Institutional Repository

Spontaneous massive Streptococcus constellatus empyema thoracis in a healthy individual: a case report


Citation

A., Zulkifli and M. M., Muhammad Nasri and W. M., Rosmaiza and O., Noorkardiffa Syawalina and M. N., Nurul Huda and A., Razif (2022) Spontaneous massive Streptococcus constellatus empyema thoracis in a healthy individual: a case report. Medicine and Health, 17 (2). pp. 283-288. ISSN 2289-5728

Abstract

Empyema thoracis is a well-known condition that is characterised by a collection of pus in the pleural space and has historically been related to high mortality rate. The cause of high mortality rate is unknown, but it may have higer risk in pneumonia cases or immunocompromised patients. This case study presented a 50-year-old man with no chronic co-morbidities, admitted with the diagnosis of sepsis secondary to community-acquired pneumonia, which was covered with ceftriaxone. Subsequently, he developed massive spontaneous right lung empyema, necessitating an urgent thoracotomy and comprehensive right decortication. Broad-spectrum antibiotics, meropenem, was then given to him. Streptococcus constellatus was discovered in the pleural fluid’s culture and sensitivity test. On his tenth day of stay, the patient had a right thoracotomy and decortication. The patient was extubated on day two post-operative and recovered on subsequent days. He was then discharged at 30 days post-operatively. We reported a case of adult spontaneous empyema thoracis from a patient with few risk factors: he was not immunocompromised, had no chronic illnesses and had no interaction with tuberculosis patients.


Download File

[img] Text
103273.pdf - Published Version

Download (382kB)

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.17576/MH.2022.1702.21
Publisher: Faculty of Medicine, Universiti Kebangsaan Malaysia
Keywords: Decortication; Spontaneous empyema thoracis; Streptococcus constellatus
Depositing User: Ms. Nuraida Ibrahim
Date Deposited: 29 Aug 2025 08:50
Last Modified: 29 Aug 2025 08:50
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.17576/MH.2022.1702.21
URI: http://psasir.upm.edu.my/id/eprint/103273
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item