SPONTANEOUS BACTERIAL EMPYEMA IN CIRRHOTIC PATIENTS:CLINICAL FEATURES AND OUTCOMES

Abd El Khalek, Ahmed; Abd Allah, Safaa; Morsy, Khairy Hammam

doi:10.21608/smj.2017.36491

SPONTANEOUS BACTERIAL EMPYEMA IN CIRRHOTIC PATIENTS:CLINICAL FEATURES AND OUTCOMES

Document Type : Original Article

Authors

¹ DDepartment of Tropical Medicine and Gastroenterology, Faculty, of Medicine University of Sohaggy

² Department of Tropical Medicine and Gastroenterology, Faculty, of Medicine University of Sohaggy

10.21608/smj.2017.36491

Abstract

AIM: The aim of this study is to determine the prevalence of spontaneous bacterial empyema among patients with liver cirrhosis and identify clinical features and outcomes of spontaneous bacterial empyema.
patients AND METHODS : The study included 800 patients (males and females) presented with liver cirrhosis with and without ascites and pleural effusion . A total of 100 (57 males and 43 females) patients with liver cirrhosis and hepatic hydrothorax, (99 patients) with and (1 patients) without ascites were enrolled. Spontaneous bacterial empyema was diagnosed by a pleural fluid PMNL count >500 cells/mm3 without radiographic evidence of pneumonia or a contiguous infection process on chest radiography.
RESULTS: the frequency of spontaneous bacterial empyema among cirrhotic patients with hepatic hydrothorax was 19% (19 out of 100 cirrhotic patients).
CONCLUSION: SBEM was recognized in 19% of cirrhotic patients with ascites and hepatic hydrothorax. So, it is a frequent but underdiagnosed complication of hepatic hydrothorax and has a poor prognosis.

Keywords

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