Authors : Mohamed E. Ahmed and Imadeldin E. Aradaib
Abstract: A child was admitted to Elshab Medical Teaching Hospital, Khartoum, Sudan. The patient had a history of cough, chest pain for 2 months and breathlessness for 3 weeks. X-ray, Computed Tomography (CT) scan and Magnetic Resonance Image (MRI) revealed the presence of a large rounded hemogenous well circumscribed nodular opacity in the right lung and hydrothorax in the left side of the chest. On thoracotomy, a ruptured hydatid cyst was found invaded by secondary bacterial infection leading to empyema of the left side of the chest. The infected ruptured hydatid cyst was removed and empyema was taken care of by enucleation of the cyst and decortication of the pleura and removal of the puss. The surgically removed cyst was submitted to the diagnostic laboratory for parasitological and microbiological examinations. Parasitological examination revealed the presence of a few number of protoscolices associated with the inner wall of the hydatid cyst. Conventional bacterial isolation and characterization revealed the presence of gram negative bacteria, which was further identified as Pseudomonus stutzeri. The antibiotic sensitivity test showed inhibitory zones of bacterial growth around a number of antibiotic discs with highest sensitivity being against tetracycline. To our knowledge, this is the first report on thoracic empyema caused by this organism in childhood in the Sudan.
Mohamed E. Ahmed and Imadeldin E. Aradaib , 2006. Association of Pseudomonas stutzeri with An Infected Ruptured Pulmonary Hydatid Cyst in A Young Patient . Surgery Journal, 1: 32-34.