Tang Wesley, Liu Zi Yu, Abreu Charles
Department of Medicine, Kettering Medical Center, Dayton, OH, USA.
Case Rep Infect Dis. 2021 Jul 10;2021:5212401. doi: 10.1155/2021/5212401. eCollection 2021.
is an anaerobic oral commensal organism that is often associated with inflammatory bowel disease, adverse pregnancy outcomes, respiratory tract infections, and Lemierre's syndrome. Rheumatoid arthritis is often associated with pleuropulmonary manifestations including noninfectious pleural effusions and interstitial lung disease. We present a case of a 47-year-old man with progressive rheumatoid arthritis on immunosuppressive therapy who was found to have a left-sided pleural effusion, thought secondary to possible pneumonia, and was treated with levofloxacin and methylprednisolone. He presented a month later and was found to have a large left-sided thick-walled fluid collection found to be an empyema. A chest tube was placed, and fluid culture grew . The patient was successfully treated with intrapleural fibrinolytic therapy and amoxicillin-clavulanic acid.
是一种口腔厌氧共生菌，常与炎症性肠病、不良妊娠结局、呼吸道感染和勒米尔综合征相关。类风湿性关节炎常与胸膜肺部表现相关，包括非感染性胸腔积液和间质性肺病。我们报告一例47岁男性，患有进行性类风湿性关节炎并接受免疫抑制治疗，发现有左侧胸腔积液，考虑可能继发于肺炎，接受左氧氟沙星和甲基泼尼松龙治疗。一个月后他再次就诊，发现左侧有一个大的厚壁液性积聚，诊断为脓胸。放置了胸管，液体培养生长出……。患者通过胸膜内纤维蛋白溶解疗法和阿莫西林-克拉维酸成功治愈。
