Disseminated Infection Caused by Eggerthella lenta in a Previously Healthy Young Man: A Case Report

Ahmad Salameh1, Stephen A Klotz, Tirdad T Zangeneh

  • 1Department of Medicine, The University of Arizona Medical Center, University of Arizona, Tucson, AZ 85724, USA.

Insights

Eggerthella lenta, an anaerobic bacterium, can cause severe disseminated infections. This case highlights successful treatment of a healthy individual with multiple abscesses using penicillin G and metronidazole.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Case Study

Background:

  • Anaerobic bacteria are common human flora but can cause severe infections.
  • Eggerthella lenta is an anaerobic Gram-positive rod found in the colon.
  • Disseminated Eggerthella infections are rare, especially in immunocompetent individuals.

Purpose of the Study:

  • To report a rare case of complicated disseminated Eggerthella lenta infection.
  • To highlight the clinical presentation and management of such infections.
  • To emphasize the importance of considering anaerobic bacteria in severe infections.

Main Methods:

  • Case report of a healthy immunocompetent male patient.
  • Detailed clinical presentation including multiple abscesses and osteomyelitis.
  • Treatment with empiric antibiotics: penicillin G and metronidazole.

Main Results:

  • The patient presented with multiple brain abscesses, liver abscesses, necrotizing pneumonia, and osteomyelitis.
  • Eggerthella lenta was identified as the causative agent.
  • Successful treatment outcome with the prescribed antibiotic regimen.

Conclusions:

  • Eggerthella lenta can cause severe, life-threatening disseminated infections even in healthy individuals.
  • Prompt diagnosis and appropriate antibiotic therapy are crucial for successful management.
  • Penicillin G and metronidazole can be effective empiric treatments for Eggerthella infections.

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