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Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
LACORT FERNANDEZ, M. et al. Massive pleural empyema caused by pyonephrosis . An. Med. Interna (Madrid) [online]. 2001, vol.18, n.3, pp.43-44. ISSN 0212-7199.
The pleural empyema has unusual origin at extralung causes. Then, is essential to identyfy the primary process in order to obtain the clinical setting control. Previously described, but even exceptional, this case report show an empyema in which its origin was an asintomatic pyonephrosis, caused because of a big kidney calculus and its discovery was suspected by the bacillus results. The treatment must include appropiate antibiotic therapy and thoracic drainage, and also the drain of the purulent accumulations at the kidney and perikydney area.
Keywords : Empyema; Pyonephrosis; Proteus infections; Kidney Calculus.