Kumar Neil R, Norwood Bridget S
Internal Medicine, Jackson Memorial Hospital, University of Miami, Miami, USA.
Internal Medicine, Miller School of Medicine, University of Miami, Miami, USA.
Cureus. 2022 May 8;14(5):e24820. doi: 10.7759/cureus.24820. eCollection 2022 May.
is an aerobic, Gram-negative bacterium that is found widely in the environment and on hospital equipment. Although this organism usually causes infection in immunocompromised patients, it may cause pulmonary disease in immunocompetent patients, in rare cases. We report a case of pneumonia complicated by empyema in an immunocompetent patient. We present a case of a 59-year-old female who was admitted for a congestive heart failure exacerbation and pneumonia. After imaging confirmed pneumonia and pleural effusion, monotherapy with levofloxacin was started. Thoracentesis revealed empyema caused by . Despite chest tube placement, thoracoscopy with decortication was required due to continued clinical deterioration. After surgical intervention and an adjusted antibiotic regimen of cefepime, the patient clinically improved and was discharged. Upon follow-up, she had recovered completely with no residual disease. Alongside a concise review of the literature, our study highlights the importance of this infection in immunocompetent patients and advises providers to identify causes of aspiration when empyema is diagnosed.
是一种需氧革兰氏阴性菌，广泛存在于环境和医院设备上。虽然这种微生物通常在免疫功能低下的患者中引起感染，但在罕见情况下，它也可能在免疫功能正常的患者中导致肺部疾病。我们报告一例免疫功能正常的患者发生肺炎并发脓胸的病例。我们介绍了一名59岁女性患者，因充血性心力衰竭加重和肺炎入院。影像学检查证实肺炎和胸腔积液后，开始使用左氧氟沙星单药治疗。胸腔穿刺术显示由……引起的脓胸。尽管放置了胸管，但由于临床持续恶化，仍需要进行胸腔镜剥脱术。经过手术干预和调整为头孢吡肟的抗生素治疗方案后，患者临床症状改善并出院。随访时，她已完全康复，无残留疾病。除了对文献进行简要回顾外，我们的研究强调了这种感染在免疫功能正常患者中的重要性，并建议临床医生在诊断脓胸时识别误吸的原因。
