AI Article Synopsis
- * Imaging indicated a loculated left-sided pleural effusion, and diagnostic thoracentesis confirmed the presence of Clostridia, leading to a diagnosis of empyema and subsequent surgical intervention.
- * The patient also had acute cholecystitis, suggesting that the Clostridia infection may have originated from the abdomen, and he was successfully treated with laparoscopic cholecystectomy and antibiotics, highlighting the importance of prompt diagnosis and treatment.
Article Abstract
Clostridia infection outside the gastrointestinal system is rare. Here, we report on a 75-year-old man with history of end-stage renal disease presenting after a syncopal event with lactic acidosis, leukocytosis, and mild hyper-bilirubinemia. Chest imaging revealed a loculated, left-sided pleural effusion; diagnostic thoracentesis identified Clostridia , consistent with an empyema. Video-assisted thoracic left lung decortication was performed; tissue culture also speciated Clostridia . Further imaging revealed concomitant acute cholecystitis, suggesting hematogenous seeding or transdiaphragmatic extension of Clostridia to pleural space from an abdominal source. The patient was successfully managed with laparoscopic cholecystectomy and discharged on a one-month course of amoxicillin-sulbactam. This case highlights the potential for Clostridia to produce a pleuropulmonary infection, necessitating timely diagnosis and intervention, to improve patient outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932497 | PMC |
| http://dx.doi.org/10.55729/2000-9666.1274 | DOI Listing |
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