Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses
Abstract Bacteroides pyogenes is naturally found in the oral microbiome of cats and dogs and hence exposure, especially bites from these animals, is a major risk factor for human infections. B pyogenes is known to cause infections that persist despite antibiotic treatment and can have serious clinic...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-03-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1314 |
| _version_ | 1797242722118008832 |
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| author | Hyun Kyoung Lee Genevieve Walls Graeme Anderson Cameron Sullivan Conroy A. Wong |
| author_facet | Hyun Kyoung Lee Genevieve Walls Graeme Anderson Cameron Sullivan Conroy A. Wong |
| author_sort | Hyun Kyoung Lee |
| collection | DOAJ |
| description | Abstract Bacteroides pyogenes is naturally found in the oral microbiome of cats and dogs and hence exposure, especially bites from these animals, is a major risk factor for human infections. B pyogenes is known to cause infections that persist despite antibiotic treatment and can have serious clinical outcomes. We present a novel case of complex lung abscesses associated with B pyogenes infection. A 55 year old man presents with a 3‐month history of productive cough, night sweats, and 5 kg weight loss. An initial chest radiograph revealed mass‐like opacities in the right upper lobe (RUL), right middle lobe (RML), and left lower lobe (LLL). Over the next 4 years the patient underwent multiple investigations and antimicrobial treatments until resolution of the abscesses. We believe that metronidazole in combination with moxifloxacin was a key component in the clinical cure of this patient. |
| first_indexed | 2024-04-24T18:43:44Z |
| format | Article |
| id | doaj.art-ff6d1be6194940c19e9e7ff9415c6b2c |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-24T18:43:44Z |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-ff6d1be6194940c19e9e7ff9415c6b2c2024-03-27T08:30:32ZengWileyRespirology Case Reports2051-33802024-03-01123n/an/a10.1002/rcr2.1314Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscessesHyun Kyoung Lee0Genevieve Walls1Graeme Anderson2Cameron Sullivan3Conroy A. Wong4Department of Medicine Te Whatu Ora Counties Manukau Auckland New ZealandDepartment of Infectious Disease Te Whatu Ora Counties Manukau Auckland New ZealandDepartment of Radiology Te Whatu Ora Counties Manukau Auckland New ZealandDepartment of Respiratory Medicine Te Whatu Ora Counties Manukau Auckland New ZealandDepartment of Respiratory Medicine Te Whatu Ora Counties Manukau and University of Auckland Auckland New ZealandAbstract Bacteroides pyogenes is naturally found in the oral microbiome of cats and dogs and hence exposure, especially bites from these animals, is a major risk factor for human infections. B pyogenes is known to cause infections that persist despite antibiotic treatment and can have serious clinical outcomes. We present a novel case of complex lung abscesses associated with B pyogenes infection. A 55 year old man presents with a 3‐month history of productive cough, night sweats, and 5 kg weight loss. An initial chest radiograph revealed mass‐like opacities in the right upper lobe (RUL), right middle lobe (RML), and left lower lobe (LLL). Over the next 4 years the patient underwent multiple investigations and antimicrobial treatments until resolution of the abscesses. We believe that metronidazole in combination with moxifloxacin was a key component in the clinical cure of this patient.https://doi.org/10.1002/rcr2.1314abscessBacteroideslungmetronidazoleprolonged |
| spellingShingle | Hyun Kyoung Lee Genevieve Walls Graeme Anderson Cameron Sullivan Conroy A. Wong Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses Respirology Case Reports abscess Bacteroides lung metronidazole prolonged |
| title | Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses |
| title_full | Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses |
| title_fullStr | Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses |
| title_full_unstemmed | Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses |
| title_short | Prolonged Bacteroides pyogenes infection in a patient with multiple lung abscesses |
| title_sort | prolonged bacteroides pyogenes infection in a patient with multiple lung abscesses |
| topic | abscess Bacteroides lung metronidazole prolonged |
| url | https://doi.org/10.1002/rcr2.1314 |
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