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Pleural empyema caused by Leuconostoc spp

A Borer1, G Weber, L S Avnon

  • 1Infectious Diseases Institute, Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Scandinavian Journal of Infectious Diseases
|January 1, 1997
PubMed
Summary

This report details a rare pleural empyema case caused by Leuconostoc spp., successfully treated with clindamycin. It highlights Leuconostoc as a pathogen in patients with predisposing factors, demonstrating its role in human infections.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pulmonology

Background:

  • Pleural empyema is a serious infection of the pleural space.
  • Leuconostoc species are typically considered commensal organisms.
  • Predisposing factors for infection include serious underlying disease, vancomycin therapy, and thoracic access devices.

Observation:

  • A rare case of pleural empyema caused by Leuconostoc spp. is presented.
  • The patient had predisposing factors including a serious underlying disease, prior vancomycin treatment, and a thoracic access device.

Findings:

  • Successful treatment of Leuconostoc spp. pleural empyema was achieved with clindamycin.
  • This is the first reported case of pleural empyema caused by Leuconostoc species.

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Implications:

  • Leuconostoc species should be considered in the differential diagnosis of pleural infections, especially in immunocompromised patients or those with predisposing factors.
  • This case contributes to the understanding of Leuconostoc pathogenicity in humans.
  • Effective antibiotic therapy, such as clindamycin, can be used for treatment.