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Anthony J. Buscaglia, MD

JAMA. 1978;240(18):1990.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

NONTYPHOID salmonellosis occurs in four clinical patterns: (1) gastroenteritis, (2) a septic illness resembling typhoid fever, (3) focal complications, and (4) the asymptomatic carrier state. Focal complications are usually abscesses that result from bacteremia; they can occur at any site. One particular complication, empyema, has been reported infrequently. This communication describes the rare occurrence of empyema due to Salmonella enteritidis serotype newport. Invasion of the pleural space by any of the Salmonella species is unusual, but this case is distinguished further in that its pathogenesis involved a splenic abscess with transdiaphragmatic passage of organisms. Empyema due to splenic abscess is an exceptionally unusual complication of salmonellosis.

Report of a Case

A 21-year-old woman was hospitalized because of pleuritic chest pain, fever, and chills of eight days' duration. There was no history of exposure to contaminated food or water, alcohol or drug abuse, previous abdominal surgery, diabetes, cirrhosis, malignant tumor, or . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Mercy Hospital, Buffalo.

Footnotes
Reprint requests to Department of Medicine, Mercy Hospital, 565 Abbott Rd, Buffalo, NY 14220 (Dr Buscaglia).

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