Journal of infection in developing countries · 2025
Pneumonia, a pulmonary abscess, and an empyema caused by Parvimonas micra.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Li Yuxiang, Wang Xia, Zhang Lidi, Huang Yanxia, Liu Yong'an
Аннотация
BACKGROUND: Pneumonia with an empyema caused by anaerobic bacteria is rare but can be life-threatening, especially in immunocompromised patients.
CASE PRESENTATION: A 67-year-old man with diabetes and hypertension who presented with pneumonia and pleural effusion and was unresponsive to initial broad-spectrum antibiotics is presented. Next-generation sequencing identified Parvimonas micra and other pathogens. Therefore, targeted therapy with levornidazole was initiated. The patient's condition improved significantly after this treatment.
CONCLUSIONS: This case highlights the importance of considering anaerobic bacteria in immunocompromised patients and the utility of next-generation sequencing in identifying atypical pathogens.
CASE PRESENTATION: A 67-year-old man with diabetes and hypertension who presented with pneumonia and pleural effusion and was unresponsive to initial broad-spectrum antibiotics is presented. Next-generation sequencing identified Parvimonas micra and other pathogens. Therefore, targeted therapy with levornidazole was initiated. The patient's condition improved significantly after this treatment.
CONCLUSIONS: This case highlights the importance of considering anaerobic bacteria in immunocompromised patients and the utility of next-generation sequencing in identifying atypical pathogens.