Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report
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 s...
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| Format: | Article |
| Language: | English |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2022
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| Online Access: | http://journalarticle.ukm.my/22356/ http://journalarticle.ukm.my/22356/1/Spontaneous%20Massive%20Streptococcus%20constellatus.pdf |
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| author | Zulkifli Abas@Buang, Muḥammad Nasri MM, Wan Rosmaiza Wan Musa, Noorkardiffa Syawalina Omar, Nurul Huda Mohd Nor, Razif Abas, |
| author_facet | Zulkifli Abas@Buang, Muḥammad Nasri MM, Wan Rosmaiza Wan Musa, Noorkardiffa Syawalina Omar, Nurul Huda Mohd Nor, Razif Abas, |
| author_sort | Zulkifli Abas@Buang, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T00:52:12Z |
| format | Article |
| id | oai:generic.eprints.org:22356 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:52:12Z |
| publishDate | 2022 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:223562023-10-19T01:04:24Z http://journalarticle.ukm.my/22356/ Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report Zulkifli Abas@Buang, Muḥammad Nasri MM, Wan Rosmaiza Wan Musa, Noorkardiffa Syawalina Omar, Nurul Huda Mohd Nor, Razif Abas, 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. Pusat Perubatan Universiti Kebangsaan Malaysia 2022-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/22356/1/Spontaneous%20Massive%20Streptococcus%20constellatus.pdf Zulkifli Abas@Buang, and Muḥammad Nasri MM, and Wan Rosmaiza Wan Musa, and Noorkardiffa Syawalina Omar, and Nurul Huda Mohd Nor, and Razif Abas, (2022) Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report. Medicine & Health, 17 (2). pp. 283-288. ISSN 2289-5728 https://www.medicineandhealthukm.com/ |
| spellingShingle | Zulkifli Abas@Buang, Muḥammad Nasri MM, Wan Rosmaiza Wan Musa, Noorkardiffa Syawalina Omar, Nurul Huda Mohd Nor, Razif Abas, Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title | Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title_full | Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title_fullStr | Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title_full_unstemmed | Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title_short | Spontaneous Massive Streptococcus constellatus Empyema Thoracis in a healthy individual: a case report |
| title_sort | spontaneous massive streptococcus constellatus empyema thoracis in a healthy individual: a case report |
| url | http://journalarticle.ukm.my/22356/ http://journalarticle.ukm.my/22356/ http://journalarticle.ukm.my/22356/1/Spontaneous%20Massive%20Streptococcus%20constellatus.pdf |