Mizunoe Syunji, Yamasaki Tohru, Tokimatsu Issei, Matsunaga Naoko, Kushima Hisako, Hashinaga Kazuhiko, Kadota Jun-Ichi
Department of Respiratory and Hematology Medicine, Oita Prefectural Hospital, Oita, Japan.
J Infect. 2006 Dec;53(6):e255-8. doi: 10.1016/j.jinf.2006.03.001. Epub 2006 Apr 18.
In December 2003, a 57-year-old-man was diagnosed as having a hepatic tumor for which he had a hepatectomy. On pathology, the hepatic tumor biopsy specimen was diagnosed as malignant lymphoma. In February 2005, the patient was referred to our hospital because of fever and chest pain. A right pleural effusion was seen on chest X-ray. Microscopic examination of the stained pleural fluid revealed many neutrophils and Gram-negative rods, and Edwardsiella tarda was cultured from the pleural effusion fluid. These findings were consistent with an empyema caused by E. tarda. Therefore, we treated the patient with panipenem/betamipron and thoracic drainage. In this paper, we describe this rare case of empyema caused by E. tarda infection.
2003年12月,一名57岁男性被诊断患有肝脏肿瘤,并接受了肝切除术。病理检查显示,肝脏肿瘤活检标本被诊断为恶性淋巴瘤。2005年2月,该患者因发热和胸痛转诊至我院。胸部X线检查发现右侧胸腔积液。对染色的胸水进行显微镜检查发现许多中性粒细胞和革兰氏阴性杆菌,并从胸水中培养出迟缓爱德华氏菌。这些发现与迟缓爱德华氏菌引起的脓胸相符。因此,我们用帕尼培南/倍他米隆治疗该患者并进行胸腔引流。在本文中,我们描述了这例由迟缓爱德华氏菌感染引起的罕见脓胸病例。