Empiemas pleurales por Gemella spp: una etiología no tan infrecuente / Pleural empyema due to Gemella spp: Report of 12 cases
Rev. méd. Chile
;
140(12): 1544-1547, dic. 2012. tab
Article
in Spanish
| LILACS
| ID: lil-674025
ABSTRACT
Background:
Gemella genus bacteria can produce localized or generalized severe infections, but very rarely they have been described as causingpulmonary infections or pleural empyemas.Aim:
To characterize patients with empyema caused by Gemella genus bacteria. Material andMethods:
The database of a Microbiology laboratory of a Spanish hospital was reviewed, searchingfor Gemella positive cultures ofpleural effusions in a period offive years.Results:
We identified 12 patients (11 males) with Gemella spp pleural empyema. Eight were infected with G. haemolysans and four with G. morbillorum. All patients had predisposingfactors such as poor oral hygiene, smoking, chronic cardiovascular or respiratory disease, alcoholism or malignancies. In ten cases, a thoracic drainage tube was placed with fibrinolysis in seven. One patient needed surgery because of a relapse of the empyema. Two patients died because of an advanced neoplasm, and the empyema was resolved in the rest.Conclusions:
Gemella pleural empyema can occur and its isolation must not be seen as a contamination.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Gram-Positive Bacterial Infections
/
Empyema, Pleural
/
Gemella
Type of study:
Etiology study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2012
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Hospital Clínico Universitario Lozano Blesa de Zaragoza/ES
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