Saudi Journal of Gastroenterology
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Year : 2008  |  Volume : 14  |  Issue : 1  |  Page : 43-45

Spontaneous bacterial empyema in liver cirrhosis: An underdiagnosed pleural complication


Lecturer of Hepatology, National Liver Institute, Menofeya University, Egypt

Correspondence Address:
Naglaa A.H Allam
4, Kafr Abdou St., Roshdy, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.37809

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Spontaneous bacterial empyema, defined as spontaneous infection of the pleural fluid, represents a distinct complication of hepatic hydrothorax with a different pathogenesis, clinical course and treatment strategy from those of empyema secondary to pneumonia. Nearly 40% of episodes of spontaneous empyema are not associated with spontaneous bacterial peritonitis (SBP) or even ascites. The condition portends a poor prognosis, and is frequently under-diagnosed. This article reviews the pathogenesis, diagnosis and management of spontaneous bacterial empyema.


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