Remarks on the Treatment of Enteric Fever

Abstract

<b>Introduction:</b> Empyema thoracis by definition is pus in the pleural space with a supportive evidence of infective etiology. <b>Aims and objectives:</b> To evaluate clinical presentation, radiological, microbiological profile, risk factors, complications &amp; treatment outcome of empyema thoracis. <b>Methodology:</b> History, clinical examination, pleural fluid study with all relevant blood and radiological investigations of 50 empyema thoracis patient were done periodically and data had been analyzed statistically. <b>Results:</b> Majority of the patients were male above 60 years of age with diabetes mellitus, smoking, gastro-esophageal reflux, past history of tuberculosis were predominant risk factors. 72% patient had known causative organism of their empyema thoracis of which M. tuberculosis was highest. Bronchopleural fistula and empyema necessitans were two complications noted. Trapped lung was the most common adverse outcomes. <b>Conclusion:</b> Patients of tubercular empyema thoracis especially with diabetes mellitus were found to have more complications and adverse treatment outcomes.