包括手术干预在内的多模式治疗成功治疗了与放线菌相关的脓胸：首例报告

IF 0.7 Q4 RESPIRATORY SYSTEM

Respiratory Medicine Case Reports Pub Date : 2025-01-01 DOI:10.1016/j.rmcr.2025.102254

Senichi Fukuda , Yuya Homma , Hiroki Kawakami , Soichiro Yamaji , Yuki Sato , Nao Sato , Reina Idemitsu , Taiki Kawai , Naoki Inoshima , Jun Hayashi , Norihiko Kubota , Tatsuya Nagai , Ayumu Otsuki , Hiroyuki Ito , Hiroshi Sugimura , Kei Nakashima

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引用次数: 0

摘要

男性，77岁，右侧胸痛，呼吸困难。计算机断层扫描显示室性胸腔积液，胸腔穿刺产生化脓性液体。利用胸膜液培养方法鉴定了格鲁吉亚放线菌。尽管进行了氨苄青霉素-舒巴坦治疗和胸腔引流，但患者病情恶化，需要进行电视胸腔镜手术。患者在完成11个月的抗生素疗程后完全康复。这是第一例报道的与乔治亚芽孢杆菌相关的脓胸病例。放线菌应被认为是脓胸的潜在原因，需要综合治疗，包括手术干预，以达到最佳治疗。

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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Empyema associated with Actinomyces georgiae successfully treated with multimodal therapy including surgical intervention: A first case report

A 77-year-old man presented with right-sided chest pain and dyspnea. Computed tomography revealed a loculated pleural effusion, and thoracentesis yielded purulent fluid. Actinomyces georgiae was identified using pleural fluid culture. Despite treatment with ampicillin-sulbactam and thoracic drainage, the patient's condition worsened, requiring video-assisted thoracoscopic surgery. The patient recovered completely after completing an 11-month course of antibiotics. This is the first reported case of empyema associated with A. georgiae. Actinomyces should be considered as a potential cause of empyema, and a comprehensive approach, including surgical intervention, is necessary for optimal management.

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