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Case Reports in Infectious Diseases
Volume 2018, Article ID 2791349, 3 pages
Case Report

A Rare Case of Spontaneous Empyema by Clostridium perfringens

1Department of Medicine, Reading Health System, West Reading, PA 19611, USA
2Maharajgunj Medical Campus, Tribhuvan University, Kathmandu, Nepal

Correspondence should be addressed to Sijan Basnet; gro.htlaehrewot@tensab.najis

Received 25 September 2017; Revised 11 December 2017; Accepted 16 December 2017; Published 8 January 2018

Academic Editor: Alexandre R. Marra

Copyright © 2018 Sijan Basnet et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Empyema caused by clostridial infections is rare especially in the absence of invasive thoracic procedures. We present the case of an 81-year-old man without a history of preceding trauma who presented with shortness of breath and nonproductive cough and grew Clostridium perfringens only in the pleural cavity. He was predisposed to the infection due to his swallowing dysfunction. He was treated with penicillin and chest tube placement for drainage and subsequently improved.