Pleural Enterococcus faecalis Empyema: An Unusual Case
A 63-year-old female patient was admitted to the department of neurology following an acute ischemic infarction of the right medial cerebral artery. She developed fever, respiratory failure, and hypotension and had to be transferred to the intensive care unit (ICU) for intubation and mechanical vent...
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| Veröffentlicht in: | Infection 2009-02, Vol.37 (1), p.56-59 |
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| creator | Bergman, R Tjan, D. H. T Schouten, M. A Haas, L. E. M van Zanten, A. R. H |
| description | A 63-year-old female patient was admitted to the department of neurology following an acute ischemic infarction of the right medial cerebral artery. She developed fever, respiratory failure, and hypotension and had to be transferred to the intensive care unit (ICU) for intubation and mechanical ventilation. Chest X-ray showed increased density of the complete right hemi-thorax, indicative of massive pleural effusion. Chest tube drainage produced 1.5 l of pus in 1 h. Cultures revealed growth of Enterococcus faecalis. The patient was treated with amoxicillin and clavulanic acid with good clinical response. Enterococci very rarely cause spontaneous pleural empyema. The natural resistance of enterococci to several types of antibiotics can lead to selection of enterococci as seen in other clinical studies and may lead to this unusual clinical consequence. |
| doi_str_mv | 10.1007/s15010-007-6359-6 |
| format | Article |
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Enterococci very rarely cause spontaneous pleural empyema. 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| subjects | Amoxicillin-Potassium Clavulanate Combination - therapeutic use Anti-Bacterial Agents - therapeutic use Antibiotics Case Report Cerebral Infarction - complications Empyema - drug therapy Empyema - microbiology Empyema - surgery Enterococcus faecalis Enterococcus faecalis - isolation & purification Family Medicine Female General Practice Gram-Positive Bacterial Infections - diagnosis Gram-Positive Bacterial Infections - drug therapy Gram-Positive Bacterial Infections - microbiology Gram-Positive Bacterial Infections - surgery Humans Infectious Diseases Internal Medicine Medicine Medicine & Public Health Middle Aged Radiography, Thoracic |
| title | Pleural Enterococcus faecalis Empyema: An Unusual Case |
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