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Massive empyema due to Lactococcus garvieae
Steven Tessier1, Ikechukwu Emengo2, Nicole Yoder3
1MS, Lewis Katz School of Medicine, Temple University/St. Lukes, Bethlehem, PA, USA.
Germs
|September 8, 2023
Summary
Lactococcus garvieae, a fish-borne zoonotic pathogen, can cause severe lung infections like bronchopneumonia and empyema in humans. This rare case highlights the potential for serious human illness from contaminated fish consumption.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Lactococcus garvieae is a zoonotic bacterium primarily associated with fish.
- Human infections are rare but can manifest in various forms, including endocarditis and abscesses.
Observation:
- An elderly female developed acute gastritis after consuming cooked fish.
- She later presented with confusion, severe pneumonia, and pleural effusion.
- Blood and pleural fluid cultures confirmed Lactococcus garvieae infection.
Findings:
- The patient developed severe bronchopneumonia and empyema due to Lactococcus garvieae.
- Despite appropriate antibiotic treatment, the patient experienced irreversible shock.
Implications:
- This case demonstrates Lactococcus garvieae as a causative agent of human bronchopneumonia and empyema.
- It underscores the importance of food safety in preventing zoonotic infections from fish.
- Further research into Lactococcus garvieae pathogenesis in humans is warranted.
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