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Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor

Although the use of appropriate antibiotics has significantly improved the outcome of pneumonia, severe complications are still encountered. We report here of a case with invasive pneumococcal pneumonia with massive empyema. A 2-year-4-month old girl presented with fever for 8 days and intermittent...

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Main Authors: Tin Nwe Latt, Mohd Nor, Noor Shafina
Format: Article
Language:English
Published: Faculty of Medicine 2016
Online Access:http://ir.uitm.edu.my/id/eprint/17143/2/AJ_TIN%20NWE%20LATT%20JCHS%2016.pdf
http://ir.uitm.edu.my/id/eprint/17143/
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spelling my.uitm.ir.171432019-05-13T07:57:10Z http://ir.uitm.edu.my/id/eprint/17143/ Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor Tin Nwe Latt Mohd Nor, Noor Shafina Although the use of appropriate antibiotics has significantly improved the outcome of pneumonia, severe complications are still encountered. We report here of a case with invasive pneumococcal pneumonia with massive empyema. A 2-year-4-month old girl presented with fever for 8 days and intermittent cough for 2 weeks. On examination, reduced air entry with dullness on percussion was noted on the left lung. Chest ultrasound revealed moderate to gross pleural effusion with septations, for which left thoraco-centesis with insertion of pigtail tube was performed. Streptococcus pneumoniae was detected via polymerase chain reaction (PCR) test in the pleural fluid. Intravenous (IV) benzylpenicillin and ceftriaxone were given together with one course (5 days) of intrapleural urokinase to breakdown the septations. Timely and appropriate management of pneumonia including the use of thrombolytic agent is vital to ensure optimal outcome and reduce the need of invasive procedures in cases with massive empyema. Public awareness of pneumococcal vaccination is also essential as a part of preventive measures. Faculty of Medicine 2016 Article PeerReviewed text en http://ir.uitm.edu.my/id/eprint/17143/2/AJ_TIN%20NWE%20LATT%20JCHS%2016.pdf Tin Nwe Latt and Mohd Nor, Noor Shafina (2016) Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor. Journal of Clinical and Health Sciences, 1 (2). pp. 41-47. ISSN 0127-984X
institution Universiti Teknologi Mara
building Tun Abdul Razak Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Teknologi Mara
content_source UiTM Institutional Repository
url_provider http://ir.uitm.edu.my/
language English
description Although the use of appropriate antibiotics has significantly improved the outcome of pneumonia, severe complications are still encountered. We report here of a case with invasive pneumococcal pneumonia with massive empyema. A 2-year-4-month old girl presented with fever for 8 days and intermittent cough for 2 weeks. On examination, reduced air entry with dullness on percussion was noted on the left lung. Chest ultrasound revealed moderate to gross pleural effusion with septations, for which left thoraco-centesis with insertion of pigtail tube was performed. Streptococcus pneumoniae was detected via polymerase chain reaction (PCR) test in the pleural fluid. Intravenous (IV) benzylpenicillin and ceftriaxone were given together with one course (5 days) of intrapleural urokinase to breakdown the septations. Timely and appropriate management of pneumonia including the use of thrombolytic agent is vital to ensure optimal outcome and reduce the need of invasive procedures in cases with massive empyema. Public awareness of pneumococcal vaccination is also essential as a part of preventive measures.
format Article
author Tin Nwe Latt
Mohd Nor, Noor Shafina
spellingShingle Tin Nwe Latt
Mohd Nor, Noor Shafina
Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
author_facet Tin Nwe Latt
Mohd Nor, Noor Shafina
author_sort Tin Nwe Latt
title Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
title_short Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
title_full Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
title_fullStr Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
title_full_unstemmed Invasive pneumococcal pneumonia with massive empyema: a case report / Tin Nwe Latt and Noor Shafina Mohd Nor
title_sort invasive pneumococcal pneumonia with massive empyema: a case report / tin nwe latt and noor shafina mohd nor
publisher Faculty of Medicine
publishDate 2016
url http://ir.uitm.edu.my/id/eprint/17143/2/AJ_TIN%20NWE%20LATT%20JCHS%2016.pdf
http://ir.uitm.edu.my/id/eprint/17143/
_version_ 1685648901552472064
score 13.211869

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