Yuan Jin, Treadwell Thomas
Department of Medicine, Metrowest Medical Center, Framingham, Massachusetts, USA.
BMJ Case Rep. 2018 Apr 11;2018:bcr-2017-223591. doi: 10.1136/bcr-2017-223591.
Empyema secondary to foreign body aspiration is rare in adults. We present a case of empyema in a 77-year-old male patient related to a remote aspiration event during a dental procedure. A CT of the chest and bronchoscopy confirmed that a metallic foreign body was located within the right lower lobe bronchus. His pleural fluid culture revealed which is a low-virulent opportunistic gram-negative bacilli and rarely causes infection. The patient received meropenem followed by levofloxacin and recovered uneventfully. The attempt of foreign body removal was failed due to chronic inflammation, and the patient refused further surgical management.
成人因异物误吸导致的脓胸较为罕见。我们报告一例77岁男性患者的脓胸病例，该病例与一次牙科手术期间的远期误吸事件有关。胸部CT和支气管镜检查证实右肺下叶支气管内有一个金属异物。他的胸腔积液培养显示 （此处原文缺失具体病菌名称），这是一种低毒力的机会性革兰氏阴性杆菌，很少引起感染。患者先接受美罗培南治疗，随后使用左氧氟沙星，最终顺利康复。由于慢性炎症，异物取出尝试失败，患者拒绝进一步的手术治疗。
