Wang J T, Fang C T, Hsueh P R, Chang S C, Luh K T
Departments of Internal Medicine and Laboratory Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Diagn Microbiol Infect Dis. 2000 Aug;37(4):271-3. doi: 10.1016/s0732-8893(00)00148-6.
Spontaneous bacterial empyema is a complication of hepatic hydrothorax in cirrhotic patients. The pathogen, clinical course and treatment strategy are different to the empyema secondary to pneumonia. A 54-year-old man, who was a cirrhotic patient with hepatic hydrothorax, was admitted to National Taiwan University Hospital for fever, dyspnea and right side pleuritic pain. The image study revealed massive right pleural effusion and no evidence of pneumonia. The culture of pleural effusion yielded Aeromonas veronii biotype sobria. The diagnosis of spontaneous bacterial empyema caused by Aeromonas veronii biotype sobria was established. To our best knowledge, Aeromonas veronii biotype sobria had never been reported in English literature as the causative pathogen of spontaneous bacterial empyema.
自发性细菌性脓胸是肝硬化患者肝性胸水的一种并发症。其病原体、临床病程及治疗策略与肺炎继发的脓胸不同。一名54岁男性，为肝硬化合并肝性胸水患者，因发热、呼吸困难及右侧胸痛入住台湾大学医院。影像学检查显示右侧大量胸腔积液，无肺炎证据。胸水培养出维罗纳气单胞菌温和生物型。确诊为由维罗纳气单胞菌温和生物型引起的自发性细菌性脓胸。据我们所知，维罗纳气单胞菌温和生物型作为自发性细菌性脓胸的致病病原体在英文文献中从未有过报道。
