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Massive empyema due to Lactococcus garvieae
Germs ; 12(3):414-418, 2022.
Article in English | EMBASE | ID: covidwho-2236223
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 irreversibl e shock, and the family opted for comfort care. Conclusions Heretofore unreported, this case demonstrates that L. garvieae can cause bronchopneumonia and empyema. Copyright © GERMS 2022.
Keywords
critical care; empyema; Lactococcus garvieae; septic shock; aged; antibiotic therapy; article; bacterial infection/di [Diagnosis]; bacterial infection/et [Etiology]; blood carbon dioxide tension; blood cell count; blood culture; blood gas analysis; blood pressure; breathing rate; bronchoscopy; case report; clinical article; coronavirus disease 2019/di [Diagnosis]; coronavirus disease 2019/dt [Drug Therapy]; coronavirus disease 2019/et [Etiology]; decortication; echocardiography; emergency ward; empyema/di [Diagnosis]; empyema/et [Etiology]; female; gastrointestinal disease; Glasgow coma scale/di [Diagnosis]; ground glass opacity/di [Diagnosis]; heart failure; heart rate; hematemesis; hemodialysis; hospitalization; human; hypotension/di [Diagnosis]; hypoxemia/di [Diagnosis]; intensive care; intubation; matrix-assisted laser desorption-ionization mass spectrometry; mean corpuscular volume; medical history; mental disease; oxygen saturation; pleura effusion; pleura fluid; Proteus mirabilis; septic shock/di [Diagnosis]; thoracocentesis; thorax radiography; transitional care; urea nitrogen blood level; very elderly; video assisted thoracoscopic surgery; ascorbic acid/po [Oral Drug Administration]; ascorbic acid/pv [Special Situation for Pharmacovigilance]; atorvastatin/pv [Special Situation for Pharmacovigilance]; bicarbonate/ec [Endogenous Compound]; C reactive protein/ec [Endogenous Compound]; cefepime/pv [Special Situation for Pharmacovigilance]; ceftriaxone/iv [Intravenous Drug Administration]; ceftriaxone/pv [Special Situation for Pharmacovigilance]; creatinine/ec [Endogenous Compound]; deoxyribonuclease/pv [Special Situation for Pharmacovigilance]; doxycycline/iv [Intravenous Drug Administration]; doxycycline/pv [Special Situation for Pharmacovigilance]; glucose/ec [Endogenous Compound]; hypertensive factor/pv [Special Situation for Pharmacovigilance]; lactate dehydrogenase/ec [Endogenous Compound]; methylprednisolone/dt [Drug Therapy]; methylprednisolone/iv [Intravenous Drug Administration]; methylprednisolone/pv [Special Situation for Pharmacovigilance]; penicillin derivative/pv [Special Situation for Pharmacovigilance]; procalcitonin/ec [Endogenous Compound]; protein/ec [Endogenous Compound]; remdesivir/dt [Drug Therapy]; remdesivir/iv [Intravenous Drug Administration]; remdesivir/pv [Special Situation for Pharmacovigilance]; tissue plasminogen activator/pv [Special Situation for Pharmacovigilance]; tocilizumab/dt [Drug Therapy]; tocilizumab/pv [Special Situation for Pharmacovigilance]; vancomycin/pv [Special Situation for Pharmacovigilance]; zinc sulfate/pv [Special Situation for Pharmacovigilance]; underwater seal drainage system

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Germs Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Germs Year: 2022 Document Type: Article