ABSTRACT
The pleural empyema has unusual origin at extralung causes. Then, is essential to identify the primary process in order to obtain the clinical setting control. Previously described, but even exceptional, this case report show an empyema in which it's origin was an asymtomatic pyonephrosis, caused because of a big kidney calculus and it's discovery was suspected by the bacillus results. The treatment must include appropriate antibiotic therapy and thoracic drainage, and also the drain of the purulent accumulations at the kidney and perikidney area.
Subject(s)
Empyema, Pleural/etiology , Proteus Infections/diagnosis , Pyelonephritis/diagnosis , Adult , Escherichia coli Infections/complications , Escherichia coli Infections/diagnosis , Female , Humans , Proteus Infections/complications , Proteus mirabilis/isolation & purification , Pyelonephritis/complications , Pyelonephritis/microbiologyABSTRACT
Los empiemas pleurales rara vez tienen su origen en causas extrapulmonares. De ser así, la identificación del proceso primario es esencial para conseguir el control del cuadro clínico. Descrito previamente, pero en todo caso excepcional, el cuadro que presentamos muestra un empiema cuyo origen era una pionefrosis asintomática, que asentaba sobre un gran cálculo coraliforme y cuyo descubrimiento se sospechó en base a los resultados bacteriológicos. El tratamiento debe incluir antibioterapia adecuada y drenaje torácico, así como el drenaje de las colecciones purulentas del área renal y perirrenal. (AU)
Subject(s)
Adult , Female , Humans , Empyema, Pleural , Pyelonephritis , Proteus Infections , Proteus mirabilis , Escherichia coli InfectionsABSTRACT
A microbiological study was made of an outbreak of foot-rot in lambs. Elastolytic activity was detected in all 10 Bacteroides nodosus strains isolated from the hooves of 9 affected animals. Among 14 other isolated strictly anaerobic microorganisms belonging to different species or genera only 4 strains showed a low degree of elastolysis. The 14 antimicrobial agents studied effectively inhibited "in vitro" growth of B. nodosus.