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Eikenella corrodens empyema in children

M A St John, A A Belda, A Matlow

    American Journal of Diseases of Children (1960)
    |May 1, 1981
    PubMed
    Summary

    Eikenella corrodens, a Gram-negative bacterium, can cause serious infections like pneumonia and empyema in children. Early diagnosis and combined antibiotic and surgical treatment are crucial for recovery.

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    Area of Science:

    • Medical microbiology
    • Pediatric infectious diseases
    • Bacteriology

    Background:

    • Eikenella corrodens is a Gram-negative, facultative anaerobic bacterium commonly found in oropharyngeal flora.
    • While E. corrodens infections are documented in adults, pediatric cases are infrequently reported.
    • Recent trends show an increasing isolation of E. corrodens as a pathogen.

    Observation:

    • This report details two pediatric cases of Eikenella corrodens pneumonia and empyema.
    • One case involved a mixed infection, while the other featured E. corrodens in pure culture.
    • Both children successfully recovered following treatment.

    Findings:

    • Successful treatment involved a combination of antibiotics effective in vitro and surgical drainage.
    • Eikenella corrodens can act as a significant pathogen in pediatric patients.
    • The organism's pathogenicity is supported by these clinical observations.

    Implications:

    • Eikenella corrodens should be considered a potential pathogen in pediatric infections, particularly in immunocompromised or predisposed children.
    • Prompt diagnosis and appropriate therapeutic strategies, including antimicrobial therapy and surgical intervention, are vital for managing E. corrodens infections.
    • Further research into E. corrodens pathogenicity in pediatric populations is warranted.

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