Iatrogenic pleural empyema caused byPropionibacterium acnes
| Autor: | Gil Myeong Seong, Hyeyoung Jwa, Jaechun Lee, Changhwan Kim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
biology Pleural effusion business.industry Pleural empyema medicine.medical_treatment General Medicine respiratory system Decortication biology.organism_classification medicine.disease Thoracostomy Empyema respiratory tract diseases Surgery 03 medical and health sciences Propionibacterium acnes 0302 clinical medicine 030228 respiratory system medicine Sputum 030212 general & internal medicine Thoracotomy medicine.symptom business |
| Zdroj: | Allergy, Asthma & Respiratory Disease. 7:61 |
| ISSN: | 2288-0410 2288-0402 |
| DOI: | 10.4168/aard.2019.7.1.61 |
| Popis: | Propionibacterium acnes is one of the commensals living on the human skin and glands, implicated mainly in acnes, but seldom in deep infection. Pleural empyema is rarely complicated with closed thoracostomy. We experienced 1 case of empyema caused by P. acnes after pleural biopsy and closed thoracostomy through a percutaneous pigtail catheter. A 79-year-old man was admitted for cough, purulent sputum and shortness of breath. Three weeks ago, closed thoracostomy and pleural biopsy were performed to confirm a diagnosis for his recurrent pleural effusion. He had increased amount of right pleural effusion. Through the pigtail cathe ter, pleural effusion was removed. Gram-positive rods were observed in Gram stain, but not cultured. By 16S rRNA analysis, P. acnes was confirmed as the pathogen. His empyema was repeatedly treated with antibiotics, fibrolysis and irrigation. Pleural decortication was recommended. We report the first case of empyema with P. acnes in Korea, possibly complicated with closed thoracostomy pro cedures. (Allergy Asthma Respir Dis 2019;7:61-64) |
| Databáze: | OpenAIRE |
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