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Spontaneous Bacterial Empyema in a Patient with Liver Cirrhosis

Other Title
간경변증 환자에서 병발한 자발성 세균성 농흉 1예
Authors
최, 영인; 최, 영일; 구, 성현; 최, 영화; 이, 선민; 박, 광주; 황, 성철; 이, 이형; 한, 명호
Citation
Kamyŏm, 31(3):262-265, 1999
Journal Title
Kamyŏm; Korean journal of infectious diseases; 감염
ISSN
0368-6221
Abstract
Spontaneous bacterial empyema (SBEM), a relatively rare complication of liver

cirrhosis, is characterized by a bacterial infection of the transudative pleural fluid

without obvious infection focus within the thoracic cavity. The analysis of pleural fluid shows characteristic 'infected transudate' with occasional identification of causative organism as in spontaneous bacterial peritonitis. The outcome is relatively favorable with early identification of the disease and subsequent proper antibiotic therapy alone.

Closed horacotomy is necessary in most cases and may be even more hazardous.

We report a case of SBEM in a 37-year old male patient with hepatitis B-virus

associated liver cirrhosis who recovered with antibiotic therapy alone.
Keywords
Spontaneous bacterial empyema (SBEM)Liver cirrhosisPleural effusion
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pulmonary & Critical Care Medicine
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