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/ http://ir.uitm.edu.my/id/eprint/17143/2/AJ_TIN%20NWE%20LATT%20JCHS%2016.pdf

id	uitm-17143
recordtype	eprints
spelling	uitm-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
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Teknologi MARA
building	UiTM Institutional Repository
collection	Online Access
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/ http://ir.uitm.edu.my/id/eprint/17143/2/AJ_TIN%20NWE%20LATT%20JCHS%2016.pdf
first_indexed	2023-09-18T22:57:38Z
last_indexed	2023-09-18T22:57:38Z
_version_	1777417960998043648

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

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