SPONTANEOUS BACTERIAL EMPYEMA DUE TO SALMONELLA TYPHIMURIUM

Spontaneous bacterial empyema is a rare complication of chronic liver disease, mostly caused by Escherichia coli and Klebsiella. We present a case of a 60 year old gentleman with alcohol related decompensated chronic liver disease who presented with a left sided pleural effusion due to Salmonella typhimurium. Salmonella typhimurium is a gram negative bacterium found in the intestinal lumen which presents as enterocolitis, bacteremia or endovascular infections, mostly in immunocompromised states. Pleuropulmonary disease due to Salmonella is extremely rare.