Abstract

CARRION MADRONAL, IM  and  SANCHEZ DEL MORAL, R. Iatrogenic pleural empyema by Salmonella after renal biopsy. Rev. OFIL·ILAPHAR [online]. 2021, vol.31, n.3, pp.325-326.  Epub May 30, 2022. ISSN 1699-714X.  https://dx.doi.org/10.4321/s1699-714x20210003000013.

Pleural empyema is a localized infection with collection of pus in the pleural space. Most empyema is due to a pleural infection secondary to pneumonia, but often a non-infectious effusion can be contaminated by poor performance of the procedures and a non-sterile technique during a surgical puncture or drainage. Pleural empyema due to nontyphoidal Salmonella spp. bacteremia is a rare localized infection that is usually associated with underlying immunodeficiency, sickle cell anemia, previous lung or pleural disease, and lung cancer.

We present the case of a 76-year-old man who, shortly after performing a renal biopsy, he started with worsening overall status, respiratory distress and fever, so the patient was diagnosed with pleural empyema due to Salmonella spp. Most of cases described of pleural empyema due to Salmonella spp. are in immunocompromised patients, predisposing factors or previous pleuropulmonary disease, with rare cases in non-immunocompromised patients or patients lacking other known risk factors.

Keywords : Infection; nontyphoidal Salmonella; pleural empyema; surgical drain.

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