Massive empyema due to Lactococcus garvieae.

IF 1.7 Q3 INFECTIOUS DISEASES
GERMS Pub Date : 2022-09-01 DOI:10.18683/germs.2022.1347
Steven Tessier, Ikechukwu Emengo, Nicole Yoder, Santo Longo, Firas Ido
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引用次数: 0

Abstract

Introduction: Lactococcus garvieae, a zoonotic pathogen, may rarely infect humans through the consumption of fish. Documented manifestations of L. garvieae infection in humans include infective endocarditis, prosthetic joint infections, liver abscesses, peritoneal dialysis-associated peritonitis, osteomyelitis, meningitis, infective spondylodiscitis, acalculous cholecystitis, and urinary tract infection.

Case report: An 87-year-old female was hospitalized for coffee-ground emesis secondary to acute gastritis after eating cooked fish. One week after her discharge, she developed new-onset confusion and was returned to the hospital. Chest computed tomography revealed total consolidation of the left lung and a multiloculated left pleural effusion. The patient required intubation and direct admission to the intensive care unit. Pleural fluid and blood cultures grew L. garvieae, which was susceptible to ceftriaxone, penicillin, and vancomycin. Despite intensive antibiotic therapy and supportive care for thirteen days, the patient remained in irreversible shock, and the family opted for comfort care.

Conclusions: Heretofore unreported, this case demonstrates that L. garvieae can cause bronchopneumonia and empyema.

garvieae乳球菌引起的大量脓胸。
garvieae乳球菌是一种人畜共患病原体,很少通过食用鱼类感染人类。已知的人类鸡乳杆菌感染的表现包括感染性心内膜炎、假体关节感染、肝脓肿、腹膜透析相关性腹膜炎、骨髓炎、脑膜炎、感染性脊柱炎、无结石性胆囊炎和尿路感染。病例报告:一名87岁女性因食用熟鱼后继发急性胃炎的咖啡渣呕吐而住院。出院一周后,她出现新发精神错乱,并返回医院。胸部电脑断层显示左肺全实变及多室性左胸腔积液。患者需要插管并直接进入重症监护病房。胸膜液和血液培养培养出对头孢曲松、青霉素和万古霉素敏感的鸡冠乳杆菌。尽管进行了13天的强化抗生素治疗和支持性护理,患者仍处于不可逆转的休克状态,家人选择了舒适护理。结论:本病例未见报道,但表明鸡乳杆菌可引起支气管肺炎和脓肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
GERMS
GERMS INFECTIOUS DISEASES-
CiteScore
2.80
自引率
5.00%
发文量
36
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