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Related Experiment Videos

Pleural Enterococcus faecalis empyema: an unusual case.

R Bergman1, D H T Tjan, M A Schouten

  • 1Department of Intensive Care, Gelderse Vallei Hospital, 9025, 6716 RP, Ede, The Netherlands.

Infection
|November 2, 2007
PubMed
Summary
This summary is machine-generated.

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Enterococcus faecalis rarely causes spontaneous pleural empyema, a serious lung infection. This case highlights the importance of considering unusual pathogens in complex infections, even after stroke treatment.

Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Neurology

Background:

  • A 63-year-old female patient experienced an acute ischemic stroke affecting the right middle cerebral artery.
  • Post-stroke complications included fever, respiratory failure, and hypotension, necessitating intensive care unit (ICU) admission for mechanical ventilation.

Observation:

  • Chest X-ray revealed massive right-sided pleural effusion, characterized by increased density.
  • Immediate chest tube drainage yielded 1.5 liters of pus within one hour.

Findings:

  • Cultures confirmed the presence of Enterococcus faecalis as the causative agent of the pleural empyema.
  • The patient received amoxicillin and clavulanic acid, resulting in a positive clinical response.

Implications:

Related Experiment Videos

  • This case underscores the rare but significant potential for Enterococcus species to cause spontaneous pleural empyema.
  • The inherent antibiotic resistance of enterococci may contribute to their selection and subsequent severe infections, as observed in this patient.