The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing

Abstract Background Fusobacterium necrophorum (F. necrophorum)-induced necrotizing pneumonia is a rare but severe pulmonary infection. Insufficient microbiological detection methods can lead to diagnostic difficulties. Methods We report a case of F. necrophorum lung abscess diagnosed by next-generat...

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Main Authors: Yang Liu, Ziye Li, Handan Fu, Weiliang Ruan, Hua Wang, Yuhong Ding, Miao Zhang
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-024-09087-5
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author Yang Liu
Ziye Li
Handan Fu
Weiliang Ruan
Hua Wang
Yuhong Ding
Miao Zhang
author_facet Yang Liu
Ziye Li
Handan Fu
Weiliang Ruan
Hua Wang
Yuhong Ding
Miao Zhang
author_sort Yang Liu
collection DOAJ
description Abstract Background Fusobacterium necrophorum (F. necrophorum)-induced necrotizing pneumonia is a rare but severe pulmonary infection. Insufficient microbiological detection methods can lead to diagnostic difficulties. Methods We report a case of F. necrophorum lung abscess diagnosed by next-generation sequencing (NGS) of bronchoalveolar lavage fluid (BALF). Results BALF-NGS detected F. necrophorum, guiding subsequent targeted antibiotic therapy. With active drainage and metronidazole treatment, the patient’s condition was effectively treated. Conclusion BALF-NGS is a valuable tool for the rapid diagnosis of infections caused by difficult-to-culture bacteria. It played a decisive role in the early identification of F. necrophorum, enabling timely and targeted antibiotic intervention. Early diagnosis and appropriate treatment are crucial for the management of F. necrophorum pneumonia.
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spelling doaj.art-37c73e4afb194df59332315a81a2d3cc2024-03-05T17:48:24ZengBMCBMC Infectious Diseases1471-23342024-02-012411410.1186/s12879-024-09087-5The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencingYang Liu0Ziye Li1Handan Fu2Weiliang Ruan3Hua Wang4Yuhong Ding5Miao Zhang6Respiratory Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineRespiratory Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineRespiratory Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineRespiratory Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineSpecial Inspection Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineRespiratory Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineRadiology Department, Shaoxing City Keqiao District Hospital of Traditional Chinese MedicineAbstract Background Fusobacterium necrophorum (F. necrophorum)-induced necrotizing pneumonia is a rare but severe pulmonary infection. Insufficient microbiological detection methods can lead to diagnostic difficulties. Methods We report a case of F. necrophorum lung abscess diagnosed by next-generation sequencing (NGS) of bronchoalveolar lavage fluid (BALF). Results BALF-NGS detected F. necrophorum, guiding subsequent targeted antibiotic therapy. With active drainage and metronidazole treatment, the patient’s condition was effectively treated. Conclusion BALF-NGS is a valuable tool for the rapid diagnosis of infections caused by difficult-to-culture bacteria. It played a decisive role in the early identification of F. necrophorum, enabling timely and targeted antibiotic intervention. Early diagnosis and appropriate treatment are crucial for the management of F. necrophorum pneumonia.https://doi.org/10.1186/s12879-024-09087-5Fusobacterium necrophorumLung abscessBronchoalveolar lavage fluidNext-generation sequencingTargeted antibiotic therapy
spellingShingle Yang Liu
Ziye Li
Handan Fu
Weiliang Ruan
Hua Wang
Yuhong Ding
Miao Zhang
The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
BMC Infectious Diseases
Fusobacterium necrophorum
Lung abscess
Bronchoalveolar lavage fluid
Next-generation sequencing
Targeted antibiotic therapy
title The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
title_full The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
title_fullStr The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
title_full_unstemmed The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
title_short The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing
title_sort first case report diagnosis and management of necrotizing fusobacterium lung abscess via balf next generation sequencing
topic Fusobacterium necrophorum
Lung abscess
Bronchoalveolar lavage fluid
Next-generation sequencing
Targeted antibiotic therapy
url https://doi.org/10.1186/s12879-024-09087-5
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