Citrobacter freundii Pyothorax Complicating Tubercular Infection in an Immunocompetent Patient
Ali Moussa Mahaman Laouali *
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
Maïga Soumaïla
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
Zonon Hamadé
Infectious Diseases Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
Bonsa Edmond
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
Ouédraogo Leithisia
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
Boncoungou Kadiatou
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso and Training and Research Unit Health Sciences (UFR-SDS), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.
Badoum Giselle
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso and Training and Research Unit Health Sciences (UFR-SDS), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.
Martial Ouédraogo
Pneumo-Phtisiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso and Training and Research Unit Health Sciences (UFR-SDS), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.
*Author to whom correspondence should be addressed.
Abstract
Purulent tubercular pleural effusion is a severe form of tuberculosis. Tubercular coinfection with Citrobacter freundii in purulent pleural effusion is rarely described in the literature. Early recognition of this pleural coinfection and appropriate management are necessary for better outcome. We report the first case of pyothorax secondary to Citrobacter freundii and Mycobacterium tuberculosis in an immunocompetent patient in the Pneumology Department of the Yalgado Ouédraogo University Hospital (Burkina Faso). The present case highlights the challenges faced during diagnosis and management of this particular coinfecton. Appropriate clinical and diagnostic collaboration is crucial for favourable prognosis.
Keywords: Citrobacter freundii, Mycobacterium tuberculosis, pyothorax, tuberculosis, Burkina Faso