揭示具核梭杆菌与脓胸的独特相遇：一例病例报告及文献综述

Sanivarapu Raghavendra R, Rajamreddy Ramya Sruthi, Kosaraju Ateet

Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Midland-Odessa, USA.

Pulmonary and Critical Care Medicine, Nassau University Medical Center, East Meadow, USA.

Cureus. 2023 Jul 26;15(7):e42488. doi: 10.7759/cureus.42488. eCollection 2023 Jul.

We report a case of ()empyema in a 34-year-old male with no significant past medical history or obvious risk factors who presented with shortness of breath and chest pain. His imaging showed complicated parapneumonic effusion which grew He was started on piperacillin-tazobactam. The patient's clinical condition deteriorated despite initial therapeutic efforts, leading to escalated antibiotic therapy and further investigations. The patient's subsequent clinical course included pigtail catheter placement with drainage of fluid requiring tpa and dornase alpha, leading to significant improvement and eventual discharge on oral amoxicillin-clavulanic acid.

我们报告了一例34岁男性脓胸病例，该患者既往无重大病史或明显危险因素，表现为呼吸急促和胸痛。其影像学显示为复杂性肺炎旁胸腔积液，积液增多。开始给予哌拉西林-他唑巴坦治疗。尽管最初进行了治疗，但患者的临床状况仍恶化，导致抗生素治疗升级并进一步检查。患者随后的临床过程包括置入猪尾导管引流液体，需要使用组织纤溶酶原激活剂（tpa）和 Dornase α，病情显著改善，最终口服阿莫西林-克拉维酸出院。