Polymikrobielle Leberabszesse und Pleuraempyem bei einem 40-jährigen Mann nach Zahnextraktion und geschlossener Parodontitis-Behandlung: Ein Fallbericht

Schimmel, Thomas; Trawinski, Henning; Karlas, Thomas; Wendt, Sebastian; Lübbert, Christoph

doi:10.1055/a-0829-7017

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…[4] For encapsulated empyema caused by A odontolyticus, the therapeutic effect of medical thoracoscopy has not been reported. [7] A odontolyticus is a V-and Y-shaped gram-positive bacillus that is negative for acid-fast staining, immotile and nonsporulating. There are sometimes short or medium-sized rods similar to those of the diphtheria bacillus, which can grow in the presence or absence of 2 , with the best growth in an anaerobic [1] Most patients with empyema have anaerobic infections, and therefore, biphasic culture of pleural effusion fluid should be conducted.…”

Section: Discussionmentioning

confidence: 99%

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Empyema caused by Actinomyces odontolyticus: A case report

Wang,

Xiao,

Wang

2024

Medicine

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Rationale: Actinomyces odontolyticus causes a rare, chronic granulomatous infection that is frequently associated with immunocompromised states. A odontolyticus can cause infection in multiple organs, but empyema is rare. Patient concerns: We report a case of empyema caused by A odontolyticus. The patient was a 64-year-old man. He was admitted to the hospital with a 5-day history of fever and dyspnea. He had caries and sequelae of cerebral apoplexy. Diagnoses: Metagenome next generation sequencing of pleural effusion was positive for A odontolyticus. Pathogen was identified by biphasic culture of pleural effusion fluid. Interventions: According to the drug sensitivity test, linezolid 0.6 g twice daily and clindamycin 0.6 g 3 times a day were administered intravenously. Thoracic drainage was initially performed, but the drainage was not sufficient. Medical thoracoscopy was performed to fully drain the pleural effusion. Outcomes: After anti-infection and medical thoracoscopic therapy, the symptoms of this patient improved. Lessons: Microbial metagenome sequencing can find pathogens that are difficult to culture by traditional methods. Adequate drainage was the key to the treatment of empyema. Medical thoracoscopy was recommended to remove the pleural effusion and spoilage when thoracic drainage is difficult. The common clinical features of A odontolyticus include a mass or swelling, abdominal disease, dental disease, and subcutaneous abscesses. Microbial metagenome sequencing can find pathogens that are difficult to culture by traditional methods. Adequate drainage was the key to the treatment of empyema. Medical thoracoscopy was recommended to remove the pleural effusion and spoilage when thoracic drainage is difficult.

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Section: Discussionmentioning

confidence: 99%

“…[ 4 ] For encapsulated empyema caused by A odontolyticus , the therapeutic effect of medical thoracoscopy has not been reported. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

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Empyema caused by Actinomyces odontolyticus: A case report

Wang,

Xiao,

Wang

2024

Medicine

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“…14 patients in the literature with empyema with S. constellatus cultured from pleural fluid was enrolled. [12][13][14][15][16][17][18][19][20][21][22][23] The clinical information was shown in the table (Supplementary Table 3). 92.9% of patients were male.…”

Section: Literature Reviewmentioning

confidence: 99%

The Clinical Features and Management of Empyema Caused by Streptococcus constellatus

Lin¹,

Bao²,

Lu³

et al. 2022

IDR

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Background Streptococcus constellatus , a commensal, plays an important role in purulent infections. It has been reported as aggressive pathogen causing pleural empyema. But the role of S. constellatus in empyema has not been taken seriously. There are no studies about clinical characteristics of empyema caused by S. constellatus domestically and abroad. This study aimed to explore the clinical features and management of empyema caused by S. constellatus . Methods A retrospective review of 9 patients diagnosed with empyema caused by S. constellatus in a hospital between January 2010 and August 2021 was performed. Results S. constellatus empyema were mostly seen in old males (66.7%) with comorbid diseases. The high-risk factors include diabetes mellitus, oral infection, and oral surgery. All were unilateral encapsulated empyema (right-side, 55.6%), diagnosed with pneumonia (bilateral pneumonia, 88.9%; ipsilateral lung abscess, 44.4%). 33.3% of patients had S. constellatus and anaerobes co-isolated. S. constellatus were sensitive to penicillin G, linezolid, levofloxacin, vancomycin, ceftriaxone, and chloramphenicol, resistant to erythromycin, tetracycline, and clindamycin. 33.3% of the patients needed ventilator support. The primary treatment to S. constellatus empyema was timely pus drainage, intravenous antibiotics, and enough nutrition support, intrapleural fibrinolytics and surgery (VAST recommended first) in necessity. Conclusion S. constellatus may cause pneumonia and lung abscess first and then spread to cause empyema mainly in old males with comorbid diseases. S. constellatus often co-isolated with anaerobes in empyema. Antibiotics should cover simultaneously both S. constellatus and anaerobes.

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Rare case ofPrevotella pleuritidislung abscess

2020

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Prevotella genus comprises of obligate anaerobic, gram-negative bacteria that are commensal organisms of oral cavity, gut and vaginal mucosa. Although many Prevotella species have well-established pathogenicity with respect to pulmonary infections, rarely has Prevotella pleuritidis been isolated as a cause of lung abscess. We present a rare case of left lower lobe lung abscess due to P. pleuritidis identified using next-generation sequencing of microbial cell-free DNA testing. A brief review of the literature regarding Prevotella species pulmonary infections, use of next-generation cell-free DNA testing early in the evaluation, antibiotic susceptibility and resistance is also a part of this report.

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Polymikrobielle Leberabszesse und Pleuraempyem bei einem 40-jährigen Mann nach Zahnextraktion und geschlossener Parodontitis-Behandlung: Ein Fallbericht

Cited by 3 publications

References 16 publications

Empyema caused by Actinomyces odontolyticus: A case report

Empyema caused by Actinomyces odontolyticus: A case report

The Clinical Features and Management of Empyema Caused by Streptococcus constellatus

Rare case ofPrevotella pleuritidislung abscess

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