Garcia-Carretero Rafael
Internal Medicine, Hospital Universitario de Mostoles, Mostoles, Madrid, Spain.
BMJ Case Rep. 2019 Jan 31;12(1):e227603. doi: 10.1136/bcr-2018-227603.
Infections caused by fusobacteria have a wide clinical spectrum, and in certain patients, they can lead to severe systemic illness. We report the case of an immunocompromised young woman who presented with severe pneumonia complicated by parapneumonic pleural effusion, despite wide-spectrum antibiotic treatment. was isolated in the samples obtained after thoracentesis was performed. Apart from the pulmonary involvement, we could not identify the infectious focus, since the patient did not have poor dentition or Lemierre's syndrome. After an extended antibiotic regimen and placement of a chest tube, the patient fully recovered and was able to be discharged.
梭杆菌引起的感染临床谱广泛,在某些患者中,可导致严重的全身疾病。我们报告一例免疫功能低下的年轻女性病例,尽管接受了广谱抗生素治疗,但仍出现严重肺炎并伴有类肺炎性胸腔积液。在进行胸腔穿刺后获得的样本中分离出了[具体细菌名称未给出]。除肺部受累外,由于患者没有牙齿问题或勒米耶综合征,我们无法确定感染灶。经过延长的抗生素治疗方案和放置胸管后,患者完全康复并得以出院。