Fusobacterium Nucleatum Empyema: An Atypical Presentation
  • Lucía Barrera López
    Department of Internal Medicine, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
  • Cristina Macía-Rodríguez
    Department of Internal Medicine, POVISA Hospital, Vigo, Spain
  • Lucía Ferreiro-Fernández
    Department of Pulmonology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
  • José Antonio Díaz-Peromingo
    Department of Internal Medicine, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain

Keywords

Fusobacterium nucleatum, empyema, unexplained weight loss

Abstract

A 40-year-old man presented to the emergency room and was evaluated in the internal medicine department for unexplained weight loss, asthenia, anorexia and night sweats over the previous 2 months. After a loculated pleural effusion was identified on thoracic computed tomography, purulent fluid was drained from the lung and Fusobacterium nucleatum was isolated. The patient was successfully treated for 27 days with amoxicillin-clavulanic acid. This was an atypical presentation of a common micro-organism implicated in lung infections.

VIEW THE ENTIRE ARTICLE

References

  • Yang CC, Ye JJ, Hsu PC, Chang HJ, Cheng CW, Leu HS et al. Characteristics and outcomes of Fusobacterium nucleatum bacteremia—a 6-year experience at a tertiary care hospital in northern Taiwan. Diagn Microbiol Infect Dis 2011;70:167–174.

  • Ahmed Z, Bansal SK, Dhillon S. Pyogenic liver abscess caused by Fusobacterium in a 21-year-old immunocompetent male. World J Gastroenterol 2015;21(12):3731–3735.

  • Boyanova L, Djambazov V, Gergova G, Iotov D, Petrov D, et al. Anaerobic microbiology in 198 cases of pleural empyema: a Bulgarian study. Anaerobe 2004;10(5):261–267.

  • Dyrhovden R, Nygaard RM, Patel R, Ulvestad E, Kommedal Ø. The bacterial aetiology of pleural empyema. A descriptive and comparative metagenomic study. Clin Microbiol Infect 2019;25(8):981–986.

  • Nagaoka K, Yanagihara K, Morinaga Y, Kohno S. Detection of Fusobacterium nucleatum in two cases of empyema and lung abscess using paromomycin-vancomycin supplemented Brucella HK agar. Anaerobe 2017;43:99–101.

    • Views: 814
    HTML downloads: 174
    PDF downloads: 367

    Published: 2020-04-24
    Issue: 2020: Vol 7 No 7 (view)

    How to cite:
    1.
    Barrera López L, Macía-Rodríguez C, Ferreiro-Fernández L, Díaz-Peromingo JA. Fusobacterium Nucleatum Empyema: An Atypical Presentation. EJCRIM 2020;7 doi:10.12890/2020_001631.