Xu Jin-Hao, Chiu Chia-Yu, Yeh Yen-Cheng, Chen Jen-Chih
Department of Internal Medicine, Kaohsiung Armed Froces General Hospital, Kaohsiung, Taiwan.
Department of Infectious Diseases, The University of Texas Health Science Center at Houston, Houston, TX, USA.
IDCases. 2023 Jan 13;31:e01693. doi: 10.1016/j.idcr.2023.e01693. eCollection 2023.
Empyema is often caused by species, followed by . The organism belongs to the group, which rarely causes empyema. We report the case of a 59-year-old man who presented with exertional dyspnea and chest pain on the right side. The image obtained showed effusion on the right side. was recovered from purulent pleural effusion culture. The patient underwent video-assisted thoracoscopic surgery with decortication, pneumolysis and received antibiotics for 13 days. A total of seven cases were analyzed after combining six cases in the literature and our presented case. The majority of empyema patients were male (six patients, 86%) and empyema on the right side (five patients, 71%). Common risk factors included poor dental hygiene or recent dental procedure (three patients, 43%), diabetes mellitus (three patients, 43%), and smoking (three patients, 43%). Only a few cases developed empyema-related complications, including bacteremia (one patient, 14%) and spleen abscesses (one patient, 14%). Most patients underwent chest tube insertion (seven patients, 100%) and survived without recurrent empyema (six patients, 86%).
脓胸通常由 种细菌引起，其次是 。该生物体属于 组，很少引起脓胸。我们报告一例59岁男性患者，其表现为劳力性呼吸困难和右侧胸痛。所获得的影像显示右侧有胸腔积液。从脓性胸腔积液培养物中分离出 。该患者接受了电视辅助胸腔镜手术，包括胸膜剥脱术、肺松解术，并接受了13天的抗生素治疗。将文献中的6例病例与我们报道的病例相结合，共分析了7例病例。大多数脓胸患者为男性（6例，86%），且右侧脓胸（5例，71%）。常见的危险因素包括口腔卫生差或近期进行过牙科手术（3例，43%）、糖尿病（3例，43%）和吸烟（3例，43%）。只有少数病例出现脓胸相关并发症，包括菌血症（1例，14%）和脾脓肿（1例，14%）。大多数患者接受了胸腔置管（7例，100%），且存活且无脓胸复发（6例，86%）。
