Empyema and Respiratory Failure Secondary to Nephropleural Fistula Caused by Chronic Urinary Tract Infection : A Case Report
Joint Authors
Parker, R. J.
Curtis, J.
Jones, G. H.
Kalaher, H. R.
Misra, N.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-13
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report a case of nephropleural fistula causing empyema and respiratory failure in a 68-year-old gentleman with a long history of urological problems including recurrent nephrolithiasis and urinary tract infections.
He was admitted with sepsis, a productive cough, pyuria, and reduced breath sounds over the left hemithorax.
Radiological imaging revealed a fistulous connection between a left-sided perinephric abscess and the pleural space.
He was commenced on broad spectrum intravenous antibiotics but developed progressive respiratory failure requiring intensive care admission.
Urinary and pleural aspirates cultured facultative anaerobic pathogens with identical resistance patterns.
Drainage of thoracic and perinephric collections was carried out, allowing him to be extubated after 24 hours and discharged home after 18 days on an extended course of oral antibiotics.
Left nephrectomy is now planned after a period of convalescence.
Empyema developing in patients with known urolithiasis should alert the treating physician to the possibility that a pathological communication has formed especially if typical urinary tract pathogens are cultured from respiratory sampling.
American Psychological Association (APA)
Jones, G. H.& Kalaher, H. R.& Misra, N.& Curtis, J.& Parker, R. J.. 2012. Empyema and Respiratory Failure Secondary to Nephropleural Fistula Caused by Chronic Urinary Tract Infection : A Case Report. Case Reports in Pulmonology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-483717
Modern Language Association (MLA)
Jones, G. H.…[et al.]. Empyema and Respiratory Failure Secondary to Nephropleural Fistula Caused by Chronic Urinary Tract Infection : A Case Report. Case Reports in Pulmonology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-483717
American Medical Association (AMA)
Jones, G. H.& Kalaher, H. R.& Misra, N.& Curtis, J.& Parker, R. J.. Empyema and Respiratory Failure Secondary to Nephropleural Fistula Caused by Chronic Urinary Tract Infection : A Case Report. Case Reports in Pulmonology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-483717
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483717